Lower abdominal pain on one side

Introduction One side of the lower abdomen pain should be considered for the side of the uterine attachment lesions such as ovarian cyst pedicle torsion. Typical symptoms of ovarian cyst torsion are sudden onset of severe pain in one side of the lower abdomen, often accompanied by nausea, vomiting, or even shock, caused by perforation of the peritoneal traction. Gynecological examination of sputum and swelling of the mass is large, there is tenderness, the most obvious tumor pedicle, and muscle tension. Sometimes the natural reduction is reversed and the abdominal pain is relieved. According to the history of the tumor, the sudden onset of abdominal pain, the pelvic touch of the mass and the tenderness of the uterine pedicle is not difficult to make a diagnosis.

Cause

(1) dysmenorrhea: such as primary dysmenorrhea, endometriosis.

(2) pelvic organ inflammation: such as acute pelvic inflammatory disease.

(3) pelvic tumor torsion: such as ovarian cyst torsion.

(4) pelvic tumor rupture: such as rupture of ovarian cysts.

(5) menstrual obstruction: such as cervical or uterine adhesions, vaginal malformation of uterine hemorrhage.

(6) intra-abdominal hemorrhage: such as tubal pregnancy rupture, abortion, ovarian corpus luteum rupture.

(7) Injury: such as uterine perforation, uterine rupture.

(8) Others: such as appendicitis, ureteral stones, etc.

an examination

Related inspection

Abdominal gynecological examination

Ovarian cyst pedicle can cause cramps on the lower abdomen, nausea and vomiting. However, some patients have a history of lower abdominal mass, no fever, no vaginal bleeding. The original mass can increase after the pain occurs. Abdominal examination can touch the mass in the lower abdomen, and the tenderness is obvious. During the gynecological examination, the accessory area on one side touched the cystic mass, the surface was smooth, the activity was obvious, the tenderness was obvious, and the ipsilateral uterine horn had tenderness. The number of white blood cells is increased or normal.

Differential diagnosis

Symptoms of confusion on one side of the lower abdomen:

Lower abdominal cramps: It is often caused by the strong peristaltic contraction of the muscles of the abdominal tube-like organs without the will of the person. Under normal circumstances, the pipe-like organs in the human body are constantly squirming. For example, the stomach is constantly moving and contracting to digest food, pushing the chyme into the small intestine, the small intestine is constantly squirming, absorbing nutrients and moisture, and allowing intestinal contents to the large intestine. Pushing, the large intestine is also continually creeping while absorbing moisture and excreting waste; the gallbladder and bile duct are also creeping and contracting, and the normal peristaltic contraction does not cause abdominal pain, but if it is to overcome the obstruction in the pipeline, To strengthen the contraction, the strong and severe contraction will cause abdominal cramps. Organs capable of producing abdominal cramps include the stomach and intestine (including the appendix), the cystic duct, the hepatic duct, the common bile duct, the pancreatic duct, the ureter, the uterus or the fallopian tube, and the kidney.

Lower abdominal pain: refers to the feeling of pain and swelling. It is a characteristic of qi stagnation. Lower abdominal pain is common in menstrual women and various digestive diseases.

Lower abdominal rebound pain: is a sign of inflammation of the peritoneal wall layer, more common in the intra-abdominal organ lesions involving the adjacent peritoneum and primary peritonitis.

Abdominal tenderness: The pain that occurs when the abdominal tenderness is pressed from the shallow to the deep.

Bilateral lower abdomen pain: is the clinical manifestation of pelvic inflammatory disease. Minimum standard: cervical pain or uterine tenderness or tenderness of the attachment.

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