Right lower quadrant pain with vomiting

Introduction A typical clinical manifestation of acute appendicitis, a gradual pain in the upper abdomen or around the umbilicus, and a few hours later the abdominal pain is transferred to the lower right abdomen. Often accompanied by loss of appetite, nausea or vomiting.

Cause

The cause of lower right abdomen pain with vomiting:

Acute appendicitis.

an examination

Related inspection

Abdominal perspective blood test abdominal CT

Diagnosis of right lower quadrant pain with vomiting:

According to the typical clinical manifestations of pain in the upper abdomen and umbilicus, the pain is transferred to the right lower abdomen after a few hours, and there is significant tenderness in the right lower abdomen. The general diagnosis is not difficult.

Differential diagnosis

Symptoms of right lower quadrant pain accompanied by vomiting:

Some other acute abdomen manifestations resemble acute appendicitis, such as ileal end diverticulitis, acute mesenteric lymphadenitis, and certain gynaecological conditions such as acute attachment inflammation, ovarian follicular rupture, and ovarian cyst torsion. Small ulcer disease perforation, perforation is quickly closed, a small amount of duodenal contents flow to the right lower abdomen, can also be expressed as metastatic right lower abdominal pain, but the upper abdomen tenderness is not obvious. Some medical conditions such as acute gastroenteritis, intestinal ascariasis, abdominal purpura, etc. also have clinical manifestations of acute appendicitis.

According to the typical clinical manifestations of pain in the upper abdomen and umbilicus, the pain is transferred to the right lower abdomen after a few hours, and there is significant tenderness in the right lower abdomen. The general diagnosis is not difficult.

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