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Abdominal mass

Fibroid tumors
Aortic aneurysm

Definition

An abdominal mass is swelling in one part of the belly area (abdomen).

Alternative Names

Mass in the abdomen

Considerations

An abdominal mass is usually found during a routine physical examination. Most of the time the mass develops slowly. You may not be able to feel the mass.

Finding where the pain occurs helps the doctor make a diagnosis. For example, the abdomen is usually divided into four areas:

Other terms used to find the location of abdominal pain or masses include:

The location of the mass and its firmness, texture, and other qualities can provide clues to its cause.

Causes

Home Care

All abdominal masses should be examined as soon as possible by the health care provider.

Changing your body position may help relieve pain due to an abdominal mass.

When to Contact a Medical Professional

Seek immediate medical help if you have a pulsating lump in your abdomen along with severe abdominal pain. This could be a sign of a ruptured aortic aneurysm, which is an emergency condition.

Contact your doctor if you notice any type of abdominal mass.

What to Expect at Your Office Visit

In nonemergency situations, your doctor will perform a physical exam and ask questions about your symptoms and medical history.

In an emergency situation, you will be stabilized first. Then, the doctor will exam your abdomen and ask questions about your symptoms and medical history, such as:

A pelvic or rectal examination may be needed in some cases. Tests that may be done to find the cause of an abdominal mass include:

References

Mcquaid K. Approach to the patient with gastrointestinal disease. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 134.

Squires RA, Postier RG. Acute abdomen. In:Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2012:chap 47.


Review Date: 10/14/2012
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.