Surgery Book

Stomach Disorders


Left Lower Quadrant Abdominal Pain

Aka: Left Lower Quadrant Abdominal Pain, LLQ Abdominal Pain, LLQ Pain
  1. See also
    1. Acute Pelvic Pain Causes
  2. Causes: Gastrointestinal
    1. Appendicitis
    2. Intestinal Obstruction
    3. Constipation
    4. Diverticulitis
    5. Infectious Colitis
    6. Inflammatory Bowel Disease
  3. Causes: Vascular
    1. Leaking aneurysm
    2. Mesenteric Ischemia
  4. Causes: Genitourinary
    1. See Acute Pelvic Pain Causes
    2. Ovarian Cyst or torsion
    3. Ureteral Calculus (Nephrolithiasis)
    4. Renal pain
    5. Seminal vesiculitis
  5. Causes: Miscellaneous
    1. Psoas abscess
    2. Abdominal wall hematoma
  6. Evaluation
    1. Diverticulitis suspected (e.g. fever, Diverticuli history, RLQ tenderness, Rectal Bleeding)
      1. Empiric treatment for Diverticulitis
      2. Consider CT Abdomen with oral and IV contrast
    2. Non-Diverticular cause suspected
      1. Evaluate for non-gastrointestinal cause as listed above
  7. Imaging: Preferred
    1. Abdominal CT with Oral Contrast

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