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</noscript></div><div class="main"><div id="ency_summary"><p>An abdominal mass is swelling in one part of the belly area (abdomen).</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Considerations</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>An abdominal mass is often found during a routine <a test="test" href="./002274.htm">physical exam</a>. Most of the time, the mass develops slowly. You may not be able to feel the mass.</p><p>Locating the mass helps your health care provider make a diagnosis. For example, the abdomen can be divided into four areas:</p><ul><li>Right-upper quadrant</li><li>Left-upper quadrant</li><li>Right-lower quadrant</li><li>Left-lower quadrant</li></ul><img title="Anatomical landmarks adult - front" alt="Anatomical landmarks adult - front" src="//medlineplus.gov/ency/images/ency/fullsize/24363.jpg" class="img-e" itemprop="image"/><p>Other terms used to describe the location of abdominal pain or masses include:</p><ul><li>Epigastric -- center of the abdomen just below the rib cage</li><li>Periumbilical -- area around the belly button </li></ul><p>The location of the mass and its firmness, texture, and other qualities can provide clues to its cause.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Several conditions can cause an abdominal mass:</p><ul><li><a test="test" href="./000162.htm">Abdominal aortic aneurysm</a> can cause a pulsating mass around the navel.</li><li><a test="test" href="./001270.htm">Bladder distention</a> (urinary bladder over-filled with fluid) can cause a firm mass in the center of the lower abdomen above the pelvic bones. In extreme cases, it can reach as far up as the navel.</li><li><a test="test" href="./000264.htm">Cholecystitis</a> can cause a very tender mass that is felt below the liver in the right-upper quadrant (occasionally).</li><li><a test="test" href="./000262.htm">Colon cancer</a> can cause a mass almost anywhere in the abdomen.</li><li><a test="test" href="./000249.htm">Crohn disease</a> or bowel obstruction can cause many tender, sausage-shaped masses anywhere in the abdomen.</li><li><a test="test" href="./000257.htm">Diverticulitis</a> can cause a mass that is usually located in the left-lower quadrant.</li><li>Gallbladder tumor can cause a tender, irregularly shaped mass in the right-upper quadrant.</li><li><a test="test" href="./000506.htm">Hydronephrosis</a> (fluid-filled kidney) can cause a smooth, spongy-feeling mass in one or both sides or toward the back (flank area).</li><li><a test="test" href="./000516.htm">Kidney cancer</a> can sometimes cause a smooth, firm, but not tender mass in the abdomen.</li><li><a test="test" href="./000280.htm">Liver cancer</a> can cause a firm, lumpy mass in the right upper quadrant.</li><li><a test="test" href="./003275.htm">Liver enlargement</a> (hepatomegaly) can cause a firm, irregular mass below the right rib cage, or on the left side in the stomach area.</li><li><a test="test" href="./001408.htm">Neuroblastoma</a>, a cancerous tumor often found in the lower abdomen can cause a mass (this cancer mainly occurs in children and infants).</li><li><a test="test" href="./001504.htm">Ovarian cyst</a> can cause a smooth, rounded, rubbery mass above the pelvis in the lower abdomen.</li><li><a test="test" href="./000270.htm">Pancreatic abscess</a> can cause a mass in the upper abdomen in the epigastric area.</li><li><a test="test" href="./000272.htm">Pancreatic pseudocyst</a> can cause a lumpy mass in the upper abdomen in the epigastric area.</li><li><a test="test" href="./003276.htm">Spleen enlargement</a> (splenomegaly) can sometimes be felt in the left-upper quadrant.</li><li><a test="test" href="./000223.htm">Stomach cancer</a> can cause a mass in the left-upper abdomen in the stomach area (epigastric) if the <a test="test" href="./001289.htm">cancer</a> is large.</li><li>Uterine <a test="test" href="./000914.htm">leiomyoma</a> (fibroids) can cause a round, lumpy mass above the pelvis in the lower abdomen (sometimes can be felt if the fibroids are large).</li><li><a test="test" href="./000985.htm">Volvulus</a> can cause a mass anywhere in the abdomen.</li><li><a test="test" href="./001267.htm">Ureteropelvic junction obstruction</a> can cause a mass in the lower abdomen. </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>All abdominal masses should be examined as soon as possible by the provider.</p><p>Changing your body position may help relieve pain due to an abdominal mass.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Get medical help right away if you have a pulsating lump in your abdomen along with severe <a test="test" href="./003120.htm">abdominal pain</a>. This could be a sign of a ruptured aortic aneurysm, which is an emergency condition.</p><p>Contact your provider if you notice any type of abdominal mass.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at Your Office Visit</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>In nonemergency situations, your provider will perform a physical exam and ask questions about your symptoms and medical history.</p><p>In an emergency situation, you will be stabilized first. Then, your provider will examine your abdomen and ask questions about your symptoms and medical history, such as:</p><ul><li>Where is the mass located?</li><li>When did you notice the mass?</li><li>Does it come and go?</li><li>Has the mass changed in size or position? Has it become more or less painful?</li><li>What other symptoms do you have? </li></ul><p>A pelvic or rectal exam may be needed in some cases. Tests that may be done to find the cause of an abdominal mass include:</p><ul><li><a test="test" href="./003789.htm">Abdominal and pelvic CT scan</a></li><li><a test="test" href="./003777.htm">Abdominal and pelvic ultrasound</a></li><li><a test="test" href="./003327.htm">Angiography</a></li><li><a test="test" href="./003817.htm">Barium enema</a></li><li>Blood tests</li><li><a test="test" href="./003886.htm">Colonoscopy</a></li><li>Esophagogastroduodenoscopy (<a test="test" href="./003888.htm">EGD</a>)</li><li>Paracentesis</li><li><a test="test" href="./003885.htm">Sigmoidoscopy</a></li><li>Stool analysis</li><li>Urine tests</li><li>X-rays of the chest or <a test="test" href="./003815.htm">abdomen</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Mass in the abdomen</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/24363t.jpg" alt="Anatomical landmarks adult - front" title="Anatomical landmarks adult - front" class="side-img"/><a href="../imagepages/1070.htm">Anatomical landmarks adult - front view</a></li>
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</div></div><div class="section-body" id="section-Ref"><p>Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Abdomen. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. <em>Seidel's Guide to Physical Examination</em>. 10th ed. St Louis, MO: Elsevier; 2023:chap 18.</p><p>Landmann A, Bonds M, Postier R. Acute abdomen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. <em>Sabiston Textbook of Surgery</em>. 21st ed. St Louis, MO: Elsevier; 2022:chap 46.</p><p>McQuaid KR. Approach to the patient with gastrointestinal disease. In: Goldman L, Schafer AI, eds. <em>Goldman-Cecil Medicine</em>. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 123.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 10/20/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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