Evaluation of the Causes of Abdominal Right Upper Quadrant Pain using Ultrasound

Abdominal Right Upper Quadrant Pain using Ultrasound

Authors

  • Aiman Aftab Ahmed Department of Allied Health Sciences, University Institute of Radiological and Medical Imaging Sciences, The University of Chenab, Gujrat, Pakistan
  • Akash John Department of Allied Health Sciences, University Institute of Radiological and Medical Imaging Sciences, The University of Chenab, Gujrat, Pakistan
  • Abid Ali Department of Allied Health Sciences, University Institute of Radiological and Medical Imaging Sciences, The University of Chenab, Gujrat, Pakistan
  • M. Abdullah Mehar Department of Allied Health Sciences, University Institute of Radiological and Medical Imaging Sciences, The University of Chenab, Gujrat, Pakistan
  • Syeda Tatheer Fatima Rizvi Department of Allied Health Sciences, University Institute of Radiological and Medical Imaging Sciences, The University of Chenab, Gujrat, Pakistan

DOI:

https://doi.org/10.54393/tt.v3i1.30

Keywords:

Ultrasonography, RUQ, Pain, Abdomen, Fatty liver

Abstract

The outermost upper quadrant at the right side of the abdomen is right upper quadrant, also acknowledged as epigastrium. Objective: To evaluate of the causes of abdominal right upper quadrant pain using ultrasound. Methods: This was a descriptive cross-sectional study conducted at private medical setup of Gujranwala, Pakistan from January 2022 to March 2022. The information required for this study was collected by using ultrasound equipment TOSHIBA XARIO 100 having probe frequency of 3.5Hz. A sample size of 70 patients was considered having abdominal pain in the right upper quadrant. The data were entered and analyzed using SPSS version 20.0. Results: Highest frequency of RUQ pain was shown in more than 45 years in females 47 (67.1%). The most common diagnosis of patients with RUQ pain was fatty liver disease 27 (38.6%) followed by Cholelithiasis 11(15.7%). Conclusion: Ultrasound is the gold standard modality for diagnosing abdominal organs diseases as it is a cheap, non-invasive and fast modality. Most common diseases diagnosing in patients with RUQ pain is fatty liver (38.6%) in old females (67.1 %).

References

Tabidi NAMA. Assessment of Patients with Right Upper Quadrant Pain using Ultrasonography: Sudan University of Science and Technology; 2020.

Revzin MV, Scoutt LM, Garner JG, WS Moore CL. Right upper quadrant pain: ultrasound first! Journal of Ultrasound in Medicine. 2017 Oct; 36(10):1975-1985. doi: 10.1002/jum.14274.

Tortora GJ, Derrickson BH. Principles of anatomy and physiology: John Wiley & Sons; 2018 May.

Scott AS, Fong E. Body structures and functions: Cengage Learning; 2013 March.

Wade CI, Streitz MJ. Anatomy, Abdomen and Pelvis, Abdomen. StatPearls [Internet]. 2021 Jul 26.

Bennett GL. Evaluating Patients with Right Upper Quadrant Pain. Radiologic Clinics of North America. 2015 Nov; 53(6):1093-130. doi: 10.1016/j.rcl.2015.06.002.

Yarmish GM, Smith MP, Rosen MP, Baker ME, Blake MA, Cash BD, et al. ACR appropriateness criteria right upper quadrant pain. Journal of the American College of Radiology. 2014 Mar; 11(3):316-22. doi: 10.1016/j.jacr.2013.11.017.

Avegno J, Carlisle M. Evaluating the patient with right upper quadrant abdominal pain. Emergency Medicine Clinics of North Amercia. 2016 May; 34(2):211-28. doi: 10.1016/j.emc.2015.12.011.

Gao B, Ahmad MF, Nagy LE, Tsukamoto H. Inflammatory pathways in alcoholic steatohepatitis. Journal of hepatology. 2019 Feb; 70(2):249-259. doi: 10.1016/j.jhep.2018.10.023.

Sánchez-Calvo B, Cassina A, Mastrogiovanni M, Santos M, Trias E, Kelley EE, et al. Olive oil-derived nitro-fatty acids: protection of mitochondrial function in non-alcoholic fatty liver disease. The Journal of Nutritional Biochemistry. 2021 Aug; 94:108646. doi: 10.1016/j.jnutbio.2021.108646

Spence SC, Teichgraeber D, Chandrasekhar C. Emergent right upper quadrant sonography. Journal of ultrasound in medicine. 2009 Apr; 28(4):479-96. doi: 10.7863/jum.2009.28.4.479.

Vezali E, Aghemo A, Colombo M. A review of the treatment of chronic hepatitis C virus infection in cirrhosis. Clinical therapeutics. 2010 Dec; 32(13):2117-38. doi: 10.1016/S0149-2918(11)00022-1.

Nylund K, Ødegaard S, Hausken T, Folvik G, Lied GA, Viola I, et al. Sonography the small intestine. World journal of gastroenterology. 2009 Mar; 15(11):1319-30. doi: 10.3748/wjg.15.1319.

Mederos MA, Reber HA, Girgis MD. Acute pancreatitis: a review. Jama. 2021 Jan; 325(4):382-390. doi: 10.1001/jama.2020.20317

Patel K, Batura D. An overview of hydronephrosis in adults. British Journal of Hospital Medicine. 2020 Jan; 81(1):1-8. doi: 10.12968/hmed.2019.0274.

Bhavnagri A, Chaudhary T, Chaudhary V, Maheshwari H, Sen DJ. Hydronephrosis: A tale of water inflammation in nephron. World Journal of Pharmaceutical Sciences. 2015:1546-554.

Yilmaz E, Guney S. Giant hydronephrosis due to ureteropelvic junction obstruction in a child: CT and MR appearances. Clinical imaging. 2002 Apr; 26(2):125-8. doi: 10.1016/s0899-7071(01)00369-2.

Hesse A. Urinary stones: Diagnosis, treatment, and prevention of recurrence: Karger Medical and Scientific Publishers. 2009; 213-215.

Khan SR, Pearle MS, Robertson WG, Gambaro G, Canales BK, Doizi S, et al. Kidney stones. Nature reviews Disease primers. 2016 Feb; 2:16008. doi: 10.1038/nrdp.2016.8.

Meola M, Samoni S, Petrucci I. Clinical Scenarios in Chronic Kidney Disease: Cystic Renal Diseases. Contributions to Nephrology 2016; 188:120-30. doi: 10.1159/000445474.

Petrucci I, Clementi A, Sessa C, Torrisi I, Meola M. Ultrasound and color Doppler applications in chronic kidney disease. Journal of Nephrology. 2018 Dec; 31(6):863-879. doi: 10.1007/s40620-018-0531-1.

Vahed LK, Khedmat L. Frequency of symptoms associated with gallstone disease: a hospital-based cross sectional study. European Journal of Translational Myology. 2018 Apr; 28(2):7412. doi: 10.4081/ejtm.2018.7412.

Healey MA, Simons RK, Winchell RJ, Gosink BB, Casola G, Steele JT, et al. A prospective evaluation of abdominal ultrasound in blunt trauma: is it useful? Journal of Trauma and Acute Care Surgery. 1996 Jun; 40(6):875-83; discussion 883-5. doi: 10.1097/00005373-199606000-00004.

Bisset R, Khan AN. Differential diagnosis in abdominal ultrasound: Elsevier India; 2012 Nov.

Mattoon JS, Berry CR, Nyland TG. Abdominal ultrasound scanning techniques. Small Animal Diagnostic Ultrasound-E-Book. 2014 Dec; 94(6):93-112.

Elnair ZA. Assessment of Right Upper Quadrant Pain using Ultrasonography (Doctoral dissertation, Sudan University of Science and Technology).

Krishnan M, Middleton WD. Ultrasonographic evaluation of right upper quadrant pain in emergency departments. Ultrasound Clinics. 2011 Apr; 6(2):149-61. doi.org/10.1016/j.cult.2011.03.004

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Published

2022-06-30
CITATION
DOI: 10.54393/tt.v3i1.30
Published: 2022-06-30

How to Cite

Aftab Ahmed, A. ., John, A. ., Ali, A. ., Mehar, M. A. ., & Fatima Rizvi, S. T. . (2022). Evaluation of the Causes of Abdominal Right Upper Quadrant Pain using Ultrasound: Abdominal Right Upper Quadrant Pain using Ultrasound. THE THERAPIST (Journal of Therapies &Amp; Rehabilitation Sciences), 3(1), 03–06. https://doi.org/10.54393/tt.v3i1.30

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