Left lower quadrant abdominal pain
Background
- This page describes the general approach to LLQ pain in adults
Clinical Features
Differential Diagnosis
LLQ Pain
- Diverticulitis
- Kidney stone
- UTI
- Pyelonephritis
- Ectopic pregnancy
- Infectious colitis
- Inflammatory bowel disease (Crohn's Disease, Ulcerative Colitis)
- Inguinal hernia
- Mesenteric ischemia
- Epiploic appendagitis
- Mittelschmerz
- Ovarian cyst
- Ovarian torsion
- PID
- Psoas abscess
- Testicular torsion
- Appendicitis
- Abdominal aortic aneurysm
- Herpes zoster
- Endometriosis
- Colon cancer
- Irritable bowel syndrome
- Small bowel obstruction
Workup
Male
- CBC
- Chem
- UA
- ?CT abd/pelvis (r/o diverticulitis)
- Testicular exam
Female
- CBC
- Chem
- UA
- Urine pregnancy
- ?Pelvic US (r/o ovarian torsion) and/or CT abd/pelvis (r/o diverticulitis)
- Pelvic exam
Management
- Treat underlying disease process
Disposition
- Per underlying disease process