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Abdominal Masses

Overview

    • Feel For

      A palpable mass within the abdomen, noting its:
    • Location
    • Size
    • Shape
    • Consistency
    • Mobility
    • Causes of Abdominal Mass

    • Gastrointestinal - faecal loading, tumour, bezoar, appendiceal abscess, diverticular abscess
    • Hepatobiliary - hepatomegaly, gallbladder enlargment
    • Pancreatic - pancreatic cancer
    • Renal - renal cell carcinoma, polycystic kidney disease
    • Vascular - abdominal aortic aneurysm
    • Hernia
    • Lymphoma

Abdominal Mass Locations

  • Right hypochondrium - liver, gallbladder, head of pancreasHepatomegaly, gallbladder enlargement, pancreatic head carcinoma
  • Epigastrium - pancreas, stomachPancreatic tumour, gastric tumour, colonic tumour, bezoar
  • Left hypochondrium- spleen, pancreas, stomach, colonPancreatic tumour, gastric tumour
  • Right lumbar - ascending colon, kidneyRenal tumour, polycystic kidney
  • Umbilicus - small bowel, aortaAbdominal aortic aneurysm, umbilical hernia
  • Left lumbar - descending colon, kidneyRenal tumour
  • Right iliac fossa - appendix, caecum, ovaryAppendiceal abscess, caecal tumour, hernia, faecal loading
  • Hypogastrium - uterus, bladder, sigmoid colonUrinary retention, faecal loading, sigmoid tumour
  • Left iliac fossa - sigmoid colon, ovaryDiverticular abscess, sigmoid tumour, hernia, faecal loading
  • Flank - kidney, retroperitoneumRenal cyst / tumour, retroperitoneal lymphoma

Overview

  • Ovarian masses are not appreciable by abdominal palpation. Even the largest of ovarian mass may only be palpable by bimanual examination.
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Associated Diseases
BETA

Gastrointestinal
Herniae
Oncology
Other
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