Upper abdominal mass and bloating
Introduction
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
Cause
Found in acute cholecystitis, pancreatic cancer, acute viral hepatitis, cirrhosis, heart failure and other diseases.
Examine
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.
Diagnosis
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.
