Renal colic may present with atypical symptoms and
be confused with GB disease. Pyelonephritis, renal abscess, hematoma, hemorrhagic cysts, tumors, and ischemia are other renal diseases that can cause RUQ pain. Miscellaneous other processes to be considered in patients with RUQ pain are right-lower-lobe pneumonia and pulmonary infarction, myocardial ischemia, local chest and abdominal wall lesions, local musculoskeletal lesions, right adrenal lesions, and herpes zoster. The relative prevalence of the different causes of RUQ pain varies from institute to institute. Table 1–2 categorizes these causes by their approximate prevalence