Abstract
A large number of conditions can cause right upper quadrant abdominal pain. The aim of this paper is to report the sonographic abnormalities associated with right upper quadrant abdominal pain in a sample of 155 adult patients from Basrah. During the period from 1st of March to 1st of July 2013, 155 adult patients aged between 20 to 70 years (107 females, 48 males) with right upper quadrant abdominal pain were observed at The Port Hospital and private clinics in Basrah. A detailed medical history was taken and a thorough physical examination was made. All the patients were examined with abdominal ultrasound with aim of detecting any sonographic abnormalities that can help in the diagnosis and treatment of the patients. Eight patients had no sonographic abnormalities, 197 ultra-sonographic abnormalities were detected in 147 patients. Genito-urinary abnormalities were found in 95 patients, hepato-biliary abnormalities were found in 82 patients and gastrointestinal abnormalities were found in 20 patients. In conclusion, genito-urinary sonographic abnormalities found to be the most common sonographic abnormalities associated with upper quadrant abdominal pain as it were found in 95 patients (48%).
Highlights
The aim of this paper is to report sonographic abnormalities associated with right upper quadrant abdominal pain in a sample of 155 adult patients from Basrah
Patients and methods During the period from 1/3/2013 to 1/7/2013, 155 adult patients aged between 20 to 70 years (107 females, 48 males) with right upper quadrant abdominal pain were observed at The Port Hospital in Basrah and private clinics
Upper abdominal pain is a common complaint in our locality and because some of the causes are life threatening, so ultrasound examination should be done for every case with this pain to narrow the possibilities of differential diagnosis
Summary
The location of the abdominal pain can provide an important clue as to its cause. Abdominal pain may occur in unexpected patterns, and its cause is less obvious. It is helpful to think about abdominal pain in terms of its location. A large number of conditions can cause right upper quadrant abdominal pain such as appendicitis, cholangitis, diverticulitis, gallstones, gastritis, hepatitis, urinary tract infections, renal stones, pancreatitis, peptic ulcer, and many other conditions. The organs that are located in the right upper abdominal quadrant are liver, gall bladder with biliary tree, duodenum, head of pancreas, hepatic flexure of colon. The aim of this paper is to report sonographic abnormalities associated with right upper quadrant abdominal pain in a sample of 155 adult patients from Basrah
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