Flank swelling

Introduction The non-functional part of the flank is not the function of the viscera, but the human body is a unified whole, and the body surface is connected with the internal viscera through the meridian. The flank of the flank is increased in volume due to inflammation or congestion. Infections or abscesses are generally confined to a certain primary site, but may spread to the contralateral side or from one gap to the other. In a few cases, it can also spread far away along the fascia plane or through the membrane, such as the deep pelvic peritoneum; the mesenteric root; the femoral, hip, anterior abdominal wall, dorsal and flank subcutaneous tissue; underarm, mediastinum and chest; even diffuse Post-sexual peritoneal infection, causing cellulitis and necrosis.

Cause

Causes:

It is more internal injuries, so the onset is generally slower. The main cause of peritoneal infections and abscesses.

1. Duodenum, pancreatic intestine, posterior peritoneal appendix, and adjacent colonic diseases as well as infection and inflammation, penetrating peptic ulcer, tumor perforation.

2. Metastatic infection from a distance.

3. Injury or surgery causes damage to the perirenal space.

an examination

1, with one or both sides of the flank pain as the main manifestation, can be diagnosed as hypochondriac pain. The nature of hypochondriac pain can be characterized by stinging, pain, burning, dull pain, dull pain and so on.

2, some patients may be associated with chest tightness, bloating, belching hiccups, irritability, suffocation, anorexia nausea and other symptoms.

3, often have a diet, emotional internal injuries, feeling external wetness, falling servant flashing or long-term illness and other medical history.

Differential diagnosis

Disease identification

1, dry hypochondriac pain: Chinese medicine said that the dry hypochondriac pain is due to lung and other lesions invading the pleura, burning sputum, qi and blood stasis, collaterals. It is a painful disease mainly characterized by chest pain, dry cough, and pleural friction sound.

2, the intercostal space may have tenderness: the clinical manifestations of intercostal neuralgia. Physical examination of patients with intercostal neuralgia found that there was significant tenderness in the paraspinal and intercostal space of the thoracic spine; typical patients with intercostal intercostal neuralgia had a positive neck test; the distribution of affected nerves often showed neurological impairment such as hyperesthesia or hypoesthesia. .

3, intercostal neuralgia: also known as intercostal neuritis, is a group of symptoms, refers to the thoracic nerve root (ie intercostal nerve) due to different reasons, such as: thoracic degeneration, thoracic tuberculosis, thoracic spine injury, thoracic spine Membrane inflammation, tumor, ankylosing spondylitis and other diseases or ribs, mediastinum, pleural lesions, intercostal nerves are subjected to the above-mentioned diseases, oppression, stimulation, inflammatory reaction, and the emergence of chest intercostal or abdominal banded pain Sign. Intercostal neuralgia is a recurrent pain that occurs in one or more intercostal areas and is exacerbated. Primary intercostal neuralgia is rare, and secondary infections are associated with viral infections, toxin stimulation, mechanical damage, and foreign body oppression. The pain is mostly stinging or burning and is distributed along the intercostal nerves.

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