Surgical causes of upper abdominal pain

Abstract

Background: In Australia, abdominal pain is a common presenting complaint in the general practice setting. Identifying a surgical cause is important and warrants prompt specialist referral.

Objective: This article outlines common surgical causes of upper abdominal pain. We include differential diagnoses, relevant investigations and approach to patient management.

Discussion: Gallstones and peptic disease are common surgical causes of upper abdominal pain. A diagnosis should be made with careful clinical assessment and appropriate investigations. However, a considerable proportion of patients will be investigated for 'surgical' causes and remain undiagnosed. Irritable bowel syndrome should be considered in these cases.