Abdominal Mass: Or something else? Differential Diagnosis

Cardiovascular (I00-I99).

  • Aortic aneurysm (outpouching of the aorta that has ruptured) or abdominal aortic aneurysm (AAA); symptomatology: abdominal pain ranging from mild tightness to excruciating pain; it should be considered in patients >50 years of age who complain of abdominal pain or back pain, with concomitant “pulsatile abdominal tumor”; incidence for asymptomatic abdominal aortic aneurysm ranges from 3.0 to 117 per 100,000 person-years

Infectious and parasitic diseases (A00-B99).

  • Echinococcosis – infectious disease caused by the parasites Echinococcus multilocularis (fox tapeworm) and Echinococcus granulosus (dog tapeworm).

Liver, gallbladder, and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87).

  • Gallbladder disease: cholelithiasis (gallstones).
  • Liver cyst
  • Pancreatic cyst

Mouth, esophagus (food pipe), stomach and intestines (K00-K67; K90-K93).

  • Diverticulitis (also consider in younger patients, < 40 years); sigmoid diverticulitis (diverticulitis of the S colon).
  • Ileus (intestinal obstruction):
    • Mechanical: external (adhesions, brides, tumor) or internal (colon carcinoma, gallstone ileus, fecal stones), with strangulation (e.g., incarcerated hernia, volvulus); symptoms: hyperperistalsis with ringing bowel sounds, vomiting, retention of stool and wind (meteorism)
    • Paralytic (transit peritonitis!)
  • Crohn’s disease – chronic inflammatory bowel disease; it usually progresses in relapses and can affect the entire digestive tract; characteristic is the segmental affection of the intestinal mucosa (intestinal mucosa), that is, several intestinal segments may be affected, which are separated by healthy sections of each other
  • Toxic megacolon – toxin-induced paralysis and massive dilatation of the colon (expansion of the colon: > 6 cm; lack of haustration/natural bulges in the wall of the colon, which is accompanied by acute abdomen, vomiting, clinical signs of shock and sepsis; complication of ulcerative colitis; lethality (mortality based on the total number of people suffering from the disease) is about 30%.

Neoplasms – tumor diseases (C00-D48).

  • Cervical carcinoma (cervical cancer).
  • Endometrial carcinoma (cancer of the uterus)
  • Colon carcinoma (cancer of the large intestine)
  • Liver tumor
  • Gastric carcinoma
  • Kidney tumor
  • Ovarian cancer (ovarian cancer)
  • Pancreatic carcinoma (pancreatic cancer)
  • Peritoneal carcinomatosis (extensive infestation of the peritoneum (peritoneum) with malignant tumor cells).
  • Retroperitoneal tumors (tumors of the posterior abdomen (retroperitoneum); palpation findings (palpation findings) in the middle abdomen).
  • Tumors of any kind in the abdominal region.

Pregnancy, childbirth and puerperium (O00-O99)

  • Pregnancy

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99)

  • Hepatomegaly (enlargement of the liver).
  • Ischuria (urinary retention)
  • Meteorism (air in the colon / large intestine).
  • Splenomegaly (enlargement of the spleen

Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99)

  • Hydronephrosis (congestive kidney).
  • Renal cyst
  • Ovarian cyst (ovarian cyst), often functional cysts/ovarian tumors; proportion of malignant (malignant) disease:
    • Premenopausal: 15% malignant tumors.
    • Postmenopausal: 50% malignant tumors
  • Uterus myomatosus (fibroids (benign muscular growths) of the uterus).

Legend: In bold, diseases of the female reproductive organs.