Abdominal mass: Difference between revisions

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  | Image          = Abdominal mass 1.jpg
  | Image          = Abdominal mass 1.jpg
  | Caption        = This infant has massive hepatomegaly due to metastatic neuroblastoma. Intra-abdominal pressure is partially relieved by a silastic pouch. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>
  | Caption        = This infant has massive hepatomegaly due to metastatic neuroblastoma. Intra-abdominal pressure is partially relieved by a silastic pouch. <br> <small> [http://www.peir.net Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology] </small>
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'''For patient information page on this topic, click [[Abdominal mass (patient information)|here]].'''
{{Abdominal mass}}
{{Abdominal mass}}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[User:Johnfanisrour|John Fani Srour, M.D.]]
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[User:Johnfanisrour|John Fani Srour, M.D.]]


==[[Abdominal mass overview|Overview]]==


====X Ray====
==[[Abdominal mass pathophysiology|Pathophysiology]]==
* [[KUB]] ([[kidneys, ureters, bladder]]) [[x-rays]] could possibly reveal free [[intraperitoneal]] air, [[constipation]] or obstruction.


====MRI and CT====
==[[Abdominal mass causes|Causes]]==
* Abdominal [[CT]] with oral [[IV]] contrast will evaluate for bowel [[pathology]], [[abscess]], and [[hepatosplenomegaly]]


====Other Diagnostic Studies====
==[[Abdominal mass differential diagnosis|Differentiating Abdominal Mass from other Diseases]]==
* [[Laparoscopy]] of the intra-abdominal cavity allows for direct visualization
* [[Colonoscopy]] helps in the diagnosis of bowel [[pathology]]
* [[Paracentesis]] with fluid evaluation.


==Treatment==
==[[Abdominal mass epidemiology and demographics|Epidemiology and Demographics]]==
* Immediately treat life-threatening causes (such as abdominal aortic aneurysms).
 
* Organomegaly typically resolves once the underlying etiology is treated.
==[[Abdominal mass risk factors|Risk Factors]]==
 
==[[Abdominal mass natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==Diagnosis==


===Acute Pharmacotherapies===
[[Abdominal mass history and symptoms|History and Symptoms]] | [[Abdominal mass physical examination|Physical Examination]] | [[Abdominal mass laboratory findings|Laboratory Findings]] | [[Abdominal mass x ray|X Ray]] | [[Abdominal mass CT|CT]] | [[Abdominal mass MRI|MRI]] | [[Abdominal mass ultrasound|Ultrasound]] | [[Abdominal mass other imaging findings|Other Imaging Findings]] | [[Abdominal mass other diagnostic studies|Other Diagnostic Studies]]
* [[Ogilvie's syndrome]] responds to decompression by IV [[neostigmine]] or by a rectal tube
* [[Constipation]] is usually treated with [[laxative]]s, increased dietary fiber and fluids, enemas.
*:* Manual disimpaction is reserved for fecal impaction.
*:* Stop use of offending medications.
* Masses caused by infections require [[antibiotic]]s (and possible surgery)


===Surgery and Device Based Therapy===
==Treatment==
* Several benign and malignant masses require surgical intervention
* [[Hirschsprung's disease]] often requires surgery.


==References==
[[Abdominal mass medical therapy|Medical Therapy]] | [[Abdominal mass surgery|Surgery]] | [[Abdominal mass primary prevention|Primary Prevention]] | [[Abdominal mass secondary prevention|Secondary Prevention]] | [[Abdominal mass cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Abdominal mass future or investigational therapies|Future or Investigational Therapies]]
{{Reflist|2}}


==Additional Resources==
== Case Studies ==
* [http://www.nlm.nih.gov/medlineplus/ency MedlinePlus medical encyclopedia]: [http://www.nlm.nih.gov/medlineplus/ency/article/003274.htm Abdominal mass] - An informative primer on abdominal masses and their common causes.
[[Abdominal mass case study one|Case #1]]


[[Category:Medical signs]]
[[Category:Signs and symptoms]]
[[Category:Signs and symptoms]]
[[Category:Oncology]]
[[Category:Oncology]]
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[[Category:Hematology]]
[[Category:Hematology]]
[[Category:Gynecology]]
[[Category:Gynecology]]
[[Category:Primary care]]


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Revision as of 01:13, 24 October 2017

Abdominal mass
This infant has massive hepatomegaly due to metastatic neuroblastoma. Intra-abdominal pressure is partially relieved by a silastic pouch.
Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

For patient information page on this topic, click here.

Abdominal mass Microchapters

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X Ray

CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: John Fani Srour, M.D.

Overview

Pathophysiology

Causes

Differentiating Abdominal Mass from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

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Case #1


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