GI

Left Lower Quadrant Abdominal Pain

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Left Lower Quadrant Abdominal Pain, LLQ Abdominal Pain, LLQ Pain

  • Causes
  • Vascular
  1. Leaking aneurysm
  2. Mesenteric Ischemia
  • Causes
  • Genitourinary
  1. See Acute Pelvic Pain Causes
  2. Ovarian Cyst or torsion
  3. Ureteral Calculus (Nephrolithiasis)
  4. Renal pain
  5. Seminal vesiculitis
  • Causes
  • Miscellaneous
  1. Psoas abscess
  2. Abdominal wall hematoma
  • 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
  • Imaging
  • Preferred