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Published on: 4/7/2025

What Are the Potential Causes of Left Lower Abdominal Pain?

Left lower abdominal pain can be caused by conditions affecting the colon or nearby organs, such as diverticulitis or epiploic appendagitis.

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Explanation

Pain in the left lower part of your abdomen may come from a few different reasons. One common cause is colonic diverticulitis. This happens when small pouches that form in the wall of your colon become inflamed or infected, leading to pain and sometimes fever or changes in bowel habits. Another possibility is primary epiploic appendagitis, which is inflammation of tiny, fat-filled sacs that hang off the colon. This condition often causes sudden sharp pain but usually resolves on its own after a few days. In women, pain in this area could also come from problems related to the ovaries or uterus. Sometimes, a careful ultrasound is used to help doctors tell these conditions apart. Other less common causes may include hernias or muscle strain. If you experience ongoing pain in the left lower abdomen, it is a good idea to see a healthcare provider. They will ask about your symptoms, perform an exam, and might order imaging tests to determine the exact cause and guide the best treatment plan.

(References)

  • Hollerweger A, Macheiner P, Gritzmann N. Akute linksseitige Unterbauchschmerzen: Sonographische Differenzialdiagnose [Acute left lower quadrant abdominal pain: ultrasonographic differential diagnosis]. Ultraschall Med. 2003 Feb;24(1):7-16. German. doi: 10.1055/s-2003-37410. PMID: 12599037.

  • Hwang JA, Kim SM, Song HJ, Lee YM, Moon KM, Moon CG, Koo HS, Song KH, Kim YS, Lee TH, Huh KC, Choi YW, Kang YW, Chung WS. Differential diagnosis of left-sided abdominal pain: primary epiploic appendagitis vs colonic diverticulitis. World J Gastroenterol. 2013 Oct 28;19(40):6842-8. doi: 10.3748/wjg.v19.i40.6842. PMID: 24187459; PMCID: PMC3812483.

  • Bodmer NA, Thakrar KH. Evaluating the Patient with Left Lower Quadrant Abdominal Pain. Radiol Clin North Am. 2015 Nov;53(6):1171-88. doi: 10.1016/j.rcl.2015.06.005. Epub 2015 Aug 5. PMID: 26526432.

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