Gastrointestinal Causes:
1. Gastroduodenal:
- Peptic Ulcer
- Gastritis
- Gastric Volvulus
- Malignancy
2. Intestinal :
- Appendicitis
- Obstruction
- Diverticulitis
- Gastroenteritis
- Inflammatory bowel disease
- Mesenteric adenitis
- Strangulated hernia
- Intussusception
- Volvulus
- Tuberculosis
3. Hepatobiliary:
- Acute cholecystitis
- Chronic cholecystitis
- Cholangitis
- Hepatitis
4. Pancreatic:
- Acute pancreatits
- Cronic pancreatitis
- Malignancy
5. Splenic:
- Cystitis
- Acute retention of urine
- Acute pyelonephritis
- Uretric colic
- Hydronephrosis
- Pyonephrosis
- Polycystic kidneys
- Tumor
Gynecological Causes:
- Ruptured ectopic pregnancy.
- Torsion of ovarian cyst
- Rupture of ovarian cyst
- Salpingitis
- Sever dysmenorrhoea
- Mittelschmertz (Ovulation pain)
- Red degeneration of fibroid
Vascular Causes:
- Mesenteric angina
- Aortic aneurysm
- Mesenteric embolus
- Ischemic colitis
- Acute aortic dissection
- Primary peritonitis (rare)
- Secondary peritonitis
Abdominal Wall:
- Rectus sheath hematoma
- Retroperitoneal hemorrhage
- Herpes zoster
- Lobar pneumonia
- Thoracic spine disease
- Pleurisy
- Myocardial infarction
- Pericarditis
- Testicular torsion
Underlying Medical Conditions:
- Hypercalcemia
- Uremia
- Diabetic ketoacidosis
- Sickle cell disease
- Addison's disease
- Acute intermittent porphyria
- Henoch- Schonlein purpura
- Tabes dorsalis
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