Upper abdominal mass and bloating

Introduction A lump in the upper abdomen is an abnormal mass that can be accessed during abdominal examination. Bloating is the swelling of the abdomen or discomfort. The two symptoms appear together with problems with the heart, liver, and pancreas. Found in acute cholecystitis, pancreatic cancer, acute viral hepatitis, cirrhosis, heart failure and other diseases. Abdominal masses are clinically common symptoms and signs that can be caused by a variety of diseases. Therefore, when patients with abdominal masses are clinically encountered, they should actively seek for the primary disease that causes the masses. Only for primary disease treatment, the masses can be used. Zoom out or fade.

Cause

Found in acute cholecystitis, pancreatic cancer, acute viral hepatitis, cirrhosis, heart failure and other diseases.

an examination

Related inspection

Abdominal perspective abdominal abdomen abdominal CT

Acute cholecystitis, patients often have fever, chills, nausea, vomiting, abdominal distension and right upper abdominal mass, severe pain.

Patients with pancreatic cancer over 40 years of age have clinically intractable upper abdominal distension, middle and upper abdominal masses, and upper abdominal pain adjacent to progressive weight loss.

Pancreatic cyst: accompanied by upper abdominal pain or discomfort, postprandial bloating, nausea and vomiting, loss of appetite and other symptoms of dyspepsia or increased blood sugar and urine sugar.

Acute viral hepatitis: mass in the right upper abdomen, pain, yellowing of the skin sclera, yellow urine, loss of appetite, abdominal distension, nausea and vomiting, anaesthesia, may be accompanied by chills, fever, fatigue.

Cirrhosis: upper abdominal mass, tenderness, bloating, loss of appetite, weight loss, fatigue, diarrhea, snoring, bleeding gums, skin ecchymosis, blemishes, dark complexion, spider mites, red palms like pig liver; Fever, yellow skin and sclera, blood vessels in the abdominal wall, ascites, and a history of hepatitis.

Heart failure: left upper abdomen mass, tenderness, bloating discomfort, loss of appetite, nausea and vomiting; difficulty breathing, occurrence after exertion or sitting breathing or paroxysmal nocturnal dyspnea; lip and face cyanosis, fatigue, chest tightness and palpitation; lower extremity edema Or have ascites or systemic edema.

Differential diagnosis

Differential diagnosis of upper abdominal mass and abdominal distension:

First, the upper right abdomen mass

(1) Liver enlargement

Such as hepatitis, liver abscess, liver tumors and so on.

(two) gallbladder enlargement

Such as acute cholecystitis, gallbladder hydrops, gallbladder hemorrhage, cholecystectomy, gallbladder cancer.

Second, the upper abdomen mass

(a) stomach mass

Such as ulcer disease, stomach cancer and other benign and malignant tumors in the stomach, stomach stone disease.

(two) pancreatic mass

Such as acute pancreatitis, pancreatic cancer and so on.

(C) the left hepatic lobe enlargement

(4) Mesenteric and omental masses

Such as mesenteric lymph node tuberculosis.

(5) Small intestine tumor

Such as small intestine malignant lymphoma, small intestine cancer.

(6) Abdominal aortic aneurysm.

Third, the upper left abdomen mass

(1) Spleen enlargement

Such as cirrhosis, spleen and so on.

(two) pancreatic tumor

Fourth, left and right lumbar masses

(1) A lump caused by kidney disease

Such as renal ptosis, hydronephrosis, renal empyema, kidney tumors and so on.

(b) pheochromocytoma

Fifth, right lower abdomen mass

(a) appendix disease

Such as abscess around the appendix.

(2) ileocecal mass

More common in ileocecal tuberculosis, Crohn's disease, cecal cancer.

(three) large omentum torsion

(four) right ovarian tumor

Six, middle and lower abdominal masses

Can be seen in bladder tumors, bladder diverticulum, uterine tumors.

Seven, left lower abdomen mass

Can be seen in ulcerative colitis, rectum, sigmoid colon cancer, left ovarian cysts and so on.

Eight, extensive and non-positioning lumps

Common causes are tuberculous peritonitis, abdominal paragonimiasis, abdominal hydatid cysts, peritoneal metastasis, intussusception, aphid intestinal obstruction, and intestinal torsion.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.