| AFFECTED ORGAN | VISCERAL PAIN | PARIETAL PAIN | REFERRED PAIN |
|---|---|---|---|
| Appendix | Periumbilical area | Right lower quadrant | Right lower quadrant |
| Distal colon | Hypogastrium and left flank for descending colon | Over affected area | Left lower quadrant and back (rare) |
| Gallbladder | Middle epigastrium | Right upper quadrant | Right subscapular area |
| Ovaries, fallopian tubes, and uterus | Hypogastrium and groin | Over affected area | Inner thighs |
| Pancreas | Middle epigastrium and left upper quadrant | Middle epigastrium and left upper quadrant | Back and left shoulder |
| Proximal colon | Periumbilical area and right flank for ascending colon | Over affected site | Right lower quadrant and back (rare) |
| Small intestine | Periumbilical area | Over affected site | Midback (rare) |
| Stomach | Middle epigastrium | Middle epigastrium and left upper quadrant | Shoulders |
| Ureters | Costovertebral angle | Over affected site | Groin: scrotum in men, labia in women (rare) |
Reference:
Handbook of Signs and Symptoms 4th Edition