Abdominal distension: Difference between revisions

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:*:* [[Swallowing air]]
:*:* [[Swallowing air]]
* Attention to history and physical examination is important to formulate plan of diagnosis
* Attention to history and physical examination is important to formulate plan of diagnosis
==Causes in Alphabetical Order==
'''Abdominal distension''' (or "distended abdomen") can be a sign of many other conditions, including:In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
* [[Abdominal abscess]]
* [[Abdominal aneurysm]]
* [[Abdominal trauma]] with intra-abdominal [[bleeding]]
* [[Acanthocytosis]]
* [[Acute appendicitis]]
* [[Air swallowing]] (nervous habit)
* [[Ascites]]
*:* [[Congestive Heart Failure]]
:* [[Hypoalbuminemia]] (e.g. [[malnutrition]], [[liver failure]])
:* [[Metastatic cancer]] (e.g., colon, ovarian)
:* [[Nephrotic syndrome]]
:* [[Portal hypertension]] (e.g. [[cirrhosis]])
* [[Biliary Atresia]]
* [[Blind loop syndrome]]
* [[Chylous ascites]]
* [[Cirrhosis]]
* [[Colonic pseudo-obstruction]] ([[Ogilvie's Syndrome]])
* [[Colonic volvulus]]
* [[Congenital hepatic porphyria]]
* [[Congenital megacolon]]
* Congenital short bowel
* [[Congenital tuberculosis]]
* [[Constipation]]
* [[Diverticulitis]]
* End stage [[liver failure]]
* Functional gas/[[constipation]]
* Gas/bloat syndrome
* [[Granulosa cell tumor]] of the [[ovary]]
* [[Heart failure]]
* [[Helminthiasis]]
* Hepatorenal [[tyrosinemia]]
* [[Hirschsprung disease]]
* [[Hypothyroidism]]
* Idiopathic sclerosing mesenteritis
* [[Ileus]]
* [[Infectious diarrhea]]
* [[Irritable bowel syndrome]]
* Jirásek-Zuelzer-Wilson syndrome
* [[Lactose intolerance]]
* [[Large bowel obstruction]]
* [[Leukemia]]
* [[Lymphoma]]
* [[Meconium]] plug syndrome
* [[Metastatic cancer]] (e.g., colon, ovarian)
* [[Necrotizing enterocolitis]]
* Neonatal [[sepsis]]
* [[Nephrotic syndrome]]
* [[Obesity]]
* [[Ovarian hyperstimulation syndrome]] [[OHSS]]
* [[Ovarian cancer]]
* [[Ovarian cyst]]
* [[Overeating]]
* [[Pancreatitis]] and complications (pseudocyst)
* [[Paralytic ileus]]
* Peritoneal bleeding
* [[Peritonitis]]
* [[Polycystic Liver Disease]]
* [[Pregnancy]]
* [[Premenstrual syndrome]]
* Sclerosing mesenteritis
* [[Small bowel obstruction]]
* Smith's disease
* [[Spontaneous bacterial peritonitis]] (SBP)
* Stalker-Chitayat syndrome
* [[Toxic megacolon]]
* [[Trauma]]
* [[Umbilical hernia]] or [[ventral hernia]]
* Urethral obstruction sequence
* Urorectal septum malformation sequence
* Valvular dysplasia of the child
* [[Variegate porphyria]]
* [[Weight gain]]
* Wolman syndrome
Other:
Pseudomyxoma peritonei
Clostridium Difficile
Ascites
Hookworm
Drowning
Pelvic Masses
Ileus
Pseudocyesis
Pulmonary hypertension
Volvulus
Eosinophilic gastroenteritis
Ulcerative colitis
Strongyloidiasis
Toxic megacolon
Soiling
Bloating
Necrotizing enterocolitis
Intestinal pseudoobstruction
Cardiac tamponade
Enteritis
Jugular venous pressure
Ischemic colitis
SSRI discontinuation syndrome
Bowel obstruction
Autonomic dysreflexia
Islet cell transplantation
Infectious hematopoietic necrosis virus
Cordyceps
Ovarian hyperstimulation syndrome
Necrotising enterocolitis
Distension
===Causes of Abdominal Distension by Organ System===
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" |
[[Abdominal aneurysm]],
[[Congestive Heart Failure]],
[[Heart failure]],
|-
|-bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Congenital'''
|bgcolor="Beige"|
[[Congenital hepatic porphyria]],
[[Congenital megacolon]],
Congenital short bowel,
[[Congenital tuberculosis]],
[[Hirschsprung's disease]],
Jirásek-Zuelzer-Wilson syndrome,
[[Meconium]] plug syndrome,
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"|
[[Ovarian hyperstimulation syndrome]] [[OHSS]],
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"|
[[Hypothyroidism]],
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"|
[[Abdominal abscess]],
[[Acute appendicitis]],
[[Ascites]],
[[Biliary Atresia]],
[[Cirrhosis]],
[[Colonic volvulus]],
[[Constipation]],
[[Diverticulitis]],
Idiopathic sclerosing mesenteritis,
[[Ileus]],
[[Large bowel obstruction]],
[[Necrotizing enterocolitis]],
[[Pancreatitis]] and complications (pseudocyst),
Peritoneal bleeding,
[[Peritonitis]],
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"|
[[Polycystic Liver Disease]],
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"|
[[Acanthocytosis]],
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"|
[[Blind loop syndrome]],
[[Colonic pseudo-obstruction]] ([[Ogilvie's Syndrome]]),
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"|
[[Helminthiasis]],
[[Toxic megacolon]],
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
|bgcolor="Beige"|
[[Acute intermittent porphyria]],
Hepatorenal tyrosinemia]],
[[Lactose intolerance]],
[[Overeating]],
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"|
[[Ovarian cancer]],
[[Pregnancy]],
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"|
[[Granulosa cell tumor]] of the [[ovary]],
[[Leukemia]],
[[Lymphoma]],
|-
|-bgcolor="LightSteelBlue"
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
|bgcolor="Beige"|
[[Nephrotic syndrome]],
|-
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"|
[[Abdominal trauma]] with intra-abdominal [[bleeding]],
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"|
Air swallowing (nervous habit),
Functional gas/constipation,
Gas/bloat syndrome,
[[Obesity]],
[[Umbilical hernia]] or [[ventral hernia]],
|-
|}


==Diagnosis==
==Diagnosis==

Revision as of 13:45, 22 August 2012

Abdominal distension
ICD-10 R14, R19.0
ICD-9 787.3, 789.3
DiseasesDB 30819

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; M.Umer Tariq [3]

Overview

  • Abdominal distension must be evaluated carefully and systematically. The first concern is to rule out a serious diagnosis such as abdominal aneurysm.
  • Importance of evaluation:
  • Attention to history and physical examination is important to formulate plan of diagnosis

Diagnosis

History

Physical Examination

Abdomen

  • Abdominal exam
    • Masses
    • Palpitation for hernias
  • Abdominal tenderness

Laboratory Findings

MRI and CT

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies


Treatment

Acute Pharmacotherapies

Surgery and Device Based Therapy

  • Referral for hernias (if and when appropriate)

References

See also


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