Lower abdominal rebound pain

Introduction Rebound tenderness is a sign of inflammation of the peritoneal wall. It is more common in intra-abdominal organ lesions involving adjacent peritoneum and primary peritonitis. Gently press in the sore area, then raise your hand quickly. In the moment of raising your hand, there is obvious pain, which is called rebounding pain. It is often the inflammation of the peritoneum at the press. It also plays an important role in the diagnosis of appendicitis. Generally, appendicitis has tenderness, and more severe tenderness and rebound tenderness. Early diagnosis and treatment, patients can recover in a short period of time, the mortality rate is extremely low (o.1% - 0.2%); if the diagnosis and treatment delay can cause serious complications, and even cause death.

Cause

It is more common in primary peritonitis when the intra-abdominal organ lesions involve the adjacent peritoneum. Appendicitis is an inflammatory change that occurs in the appendix due to a variety of factors. It is a common disease whose prognosis depends on timely diagnosis and treatment. Early diagnosis and treatment, patients can recover in a short period of time, the mortality rate is extremely low (o.1% - 0.2%); if the diagnosis and treatment delay can cause serious complications, and even cause death.

an examination

Related inspection

Colonic gas test

Rebound tenderneg With your fingers slowly pressing down on the abdomen, when tenderness (or no tenderness) occurs, the finger stops for a while, and then quickly removes the finger, feeling the original abdominal pain increases or severe pain. For inflammation, the signs of the peritoneal wall layer are involved. It is more common in primary peritonitis when the intra-abdominal organ lesions involve the adjacent peritoneum.

Differential diagnosis

Need to distinguish from the following symptoms:

Right lower quadrant tenderness is one of the symptoms of acute appendicitis. Acute appendicitis is the first place in various surgical acute diseases.

Postpartum lower abdominal pain or vaginal bulge is a manifestation of uterine varus, the degree of uterus inversion is different, light can only be expressed as postpartum lower abdominal pain or vaginal swelling, severe cases can cause painful shock.

The dull pain and soreness of the lower abdomen is one of the clinical manifestations of abdominal hernia. Interparietal hernia is a special form of inguinal hernia, which is characterized by the fact that the abdominal organs do not descend through the abdominal tube. It is through the intra-abdominal ring into the abdominal wall between the various levels.

A soft sausage-like mass can be seen in the right lower quadrant: cecal granuloma with cecal amoebic granuloma and schistosomiasis granuloma in the ileocecal area. The cecal amoebic granuloma is a complication of chronic colitis caused by Entamaeba Histolytica. The ileocecal schistosomiasis granuloma is a late stage disease of intestinal schistosomiasis. The schistosomiasis egg deposition site is mainly the terminal ileum except the colon. The clinical symptoms are localized abdominal pain and intermittent diarrhea. The right lower abdomen can be touched with soft sausage-like mass. In addition, chronic low intestinal obstruction is often accompanied by acute intestinal obstruction.

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