Pain in the iliac region

Pain in the ileum is not a specific symptom of a particular disease. Rather, it is a sign that should prompt a person to listen carefully to their feelings, analyze them and promptly consult a doctor to find out the cause of the painful symptoms.

The iliac zone regio iliaca is part of the peritoneum, more precisely its anterior-lateral zone. The iliac cavity does not enter the anatomical international atlas as an independent zone, it is considered the inguinal region - regio inguinalis. In the international medical community, the iliac cavity is compromised as iliac inguinal. In clinical practice, this concept denotes the peritoneum and ileal fossa.

Pain in the iliac cavity is typical as a complaint from female patients, as they often indicate many gynecological diseases. Of course, men and even children suffer from pain in the iliac cavity. Also, the pain symptom can develop as a temporary sign of fatigue or excessive physical exertion.

[1], [2], [3], [4], [5], [6], [7], [8]

Causes of pain in the iliac hollow

The most common causes of pain in the iliac region are the following pathologies: 

• Chronic or acute inflammatory processes in the appendages of the uterus, postoperative adhesions, various types of gynecological tumors.
• The pain is provoked by a static position of the body, causing varicose veins of the small pelvis. This is typical for women working sitting or standing. Varicose veins can also be caused by prolonged sexual abstinence.
• In both men and women, pain in the iliac region can be caused by urolithiasis.
• The cause of pain in the ileum can be the omission of the ureter, edema or inflammation of the kidney. 
• Among other reasons, quite often the pain sensations provoke hernia - both inguinal and femoral.
• Osteochondrosis of the lumbosacral region is also a factor that provokes pain in the ileum.
• The pathology of the structure of the sigmoid colon or dolichosigma is one of the reasons that provoke painful sensations in the ileum cavity. In addition, the lengthening of the sigmoid colon, which is unstable, that is freely moving in the peritoneum, can result in a twisting of the intestine and intestinal obstruction. This pathology causes intense, severe pain.

The nature of pain in the iliac region can be different - from dull, aching and transient, to acute, intolerant. In clinical practice, the following patterns were determined statistically to aid in the diagnosis of diseases:

Pain in the iliac region on the left side: 

• Spikes of inflammatory etiology.
• Ectopic, tubal pregnancy in women.
• Pain after gynecological surgery.
• The inflammatory process in the appendages is both acute and chronic.
• Sexual abstinence.
• The oncological process.
• Nephrological diseases.
• Pathology of the structure of the sigmoid colon.
• Colitis.
• Omission of the pelvic organs.
• Parasitic infection.
• Varicose veins of the small pelvis.
• Torsion of the legs of the cyst of the right ovary.
• Salpingitis.
• Renal colic.
• Herniated spigelia line.
• Aneurysm of the iliac artery.

Pain in the ileum on the right side: 

• Coecum rupture is the cecum.
• Inflammation of appendicitis, acute appendicitis.
• Perforation of the stomach ulcer.
• Perforation of duodenal ulcer.
• Granulomatous enteritis (Crohn's disease).
• Renal colic.
• Malignant tumor of the ovary.
• Urolithiasis disease.
• Proctosigmoiditis is an inflammatory process in the rectum and sigmoid colon.
• Concretions in the kidneys.
• Parasitic infection.
• Aneurysm of the iliac artery.

In addition, pain in the iliac region can be triggered by chronic constipation, diarrhea, dysbiosis or intoxication (most often food).

[9], [10], [11]

What should I do if the iliac region hurts?

Like any anxiety symptom in the abdomen, pain in the ileum requires medical examination, perhaps - a comprehensive examination and the establishment of an accurate diagnosis. Judging by the above reasons, which can provoke pain in this area, an independent definition of the disease is impossible in principle. Moreover, self-medication is not only unacceptable, but also dangerous, because a factor that causes a painful symptom may become inflamed appendicitis, which can quickly transform into peritonitis. That is why if the pain in the iliac region does not subside, becomes more intense, or lasts more than one day, you need to see a doctor and undergo a complete examination.