What is the differential diagnosis of a rigid abdomen (abdominal rigidity)?

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Differential Diagnosis for Rigid Abdomen

Single Most Likely Diagnosis

  • Peritonitis: This is the most likely diagnosis for a rigid abdomen, as peritonitis is an inflammation of the peritoneum, the thin layer of tissue that lines the abdominal cavity, and is often caused by a bacterial infection. The rigid abdomen, also known as abdominal guarding, is a classic sign of peritonitis.

Other Likely Diagnoses

  • Hemoperitoneum: This refers to the presence of blood in the peritoneal cavity, often due to trauma or rupture of an abdominal organ. A rigid abdomen can be a sign of hemoperitoneum due to the body's response to the blood in the abdominal cavity.
  • Intestinal obstruction: This occurs when there is a blockage in the intestines that prevents normal flow of food, fluids, and gas, causing abdominal pain, distension, and rigidity.
  • Pancreatitis: Inflammation of the pancreas can cause abdominal pain and rigidity, especially if the pancreatitis is severe.

Do Not Miss Diagnoses

  • Ruptured abdominal aortic aneurysm: Although less common, a ruptured abdominal aortic aneurysm is a life-threatening condition that requires immediate attention. A rigid abdomen can be a sign of this condition, especially in older adults with a history of hypertension or smoking.
  • Ectopic pregnancy: In women of childbearing age, a rigid abdomen can be a sign of an ectopic pregnancy, which is a life-threatening condition that requires immediate medical attention.
  • Mesenteric ischemia: This refers to a condition where there is a lack of blood flow to the intestines, which can cause abdominal pain, rigidity, and potentially life-threatening complications if not treated promptly.

Rare Diagnoses

  • Abdominal compartment syndrome: This is a rare condition where there is increased pressure in the abdominal cavity, causing abdominal rigidity, pain, and potentially life-threatening complications.
  • Intra-abdominal malignancy: Certain types of cancer, such as ovarian or gastrointestinal cancer, can cause abdominal rigidity, although this is a less common presentation.
  • Scleroderma: This is a rare autoimmune disorder that can cause abdominal rigidity and other gastrointestinal symptoms, although it is not typically the first diagnosis considered in cases of rigid abdomen.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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