Abdominal mass

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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

Abdominal mass Microchapters

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Differentiating Abdominal Mass from other Diseases

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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.


X Ray

MRI and CT

Other Diagnostic Studies

Treatment

  • Immediately treat life-threatening causes (such as abdominal aortic aneurysms).
  • Organomegaly typically resolves once the underlying etiology is treated.

Acute Pharmacotherapies

  • Ogilvie's syndrome responds to decompression by IV neostigmine or by a rectal tube
  • Constipation is usually treated with laxatives, increased dietary fiber and fluids, enemas.
    • Manual disimpaction is reserved for fecal impaction.
    • Stop use of offending medications.
  • Masses caused by infections require antibiotics (and possible surgery)

Surgery and Device Based Therapy

  • Several benign and malignant masses require surgical intervention
  • Hirschsprung's disease often requires surgery.

References

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