Abdominal enlargement
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Sudden or progressive enlargement of the abdomen. Localized or generalized, intermittent or persistent.
Differential Diagnosis of Causes of Abdominal Enlargement
Updated 10th of September 2008 [1] [2] [3]
Abdominal mass (localized abdominal enlargement, swelling)
- Abdominal aortic aneurysm
- Bladder distension
- Bowel obstruction
- Cholecystitis
- Colon cancer
- Crohn’s disease
- Diverticulitis
- Gallbladder tumor
- Hepatomegaly
- Hydronephrosis
- Kidney cancer
- Liver cancer
- Neuroblastoma
- Ovarian cyst
- Pancreatic abscess
- Pancreatic pseudocyst
- Splenomegaly
- Stomach cancer
- Ureteropelvic junction obstruction
- Uterine leiomyoma (fibroids)
- Volvulus
- Normal child (the stomach of a child protrudes more than adults)
- Gas
- Swallowed air
- Pregnancy
- Obesity
- Constipation
- Chronic constipation
- Poor muscle tone (Muscle weakness)
- Poor muscle tone after childbirth
- Lactose intolerance
- Food allergies
- Food intolerances
- Pregnancy
- Hernia
- Malabsorption
- Irritable bowel syndrome
- Colonic bacterial fermentation
- Intestinal motility disorders
- Gastroparesis
- Diabetic gastroparesis
- Gas entrapment syndromes
- Splenic flexure
- Hepatic flexure
- Premenstrual syndrome
- Pancreatic disease
- Acute pancreatitis
- Appendicitis
- Biliary disease
- Gallbladder disease
- Other gallbladder conditions
- Gallstones
- Short bowel syndrome
- Peptic ulcer
- Ascites
- Malignant ascites
- Intestinal obstruction – causing gas or fluid buildup
- Partial bowel obstructions
- Small bowel diverticulum
- Intestinal adhesions
- Intermittent bowel obstruction
- Volvulus
- Colon cancer
- Diverticulitis
- Diverticulosis
- Ulcerative colitis
- Pseudopsiesis
- Liver disease
- Certain heart conditions
- Abdominal mass
- Certain types of tumors or cancers
- Abdominal tumor
- Gastrointestinal tumor
- Abdominal cancer
- Bowel cancer
- Ovarian cancer
- Lymphoma
- Fibroids
- Ovarian cystadenoma
- Perforated viscus
- Some causes of abdominal distention of infants or children include:
- Normal infant pot belly
- Premature delivery
- Starvation
- Constipation
- Cystic fibrosis
- Celiac disease
- Hirschsprung’s disease
- Subcutaneous lipoma
- Dercum’s disease
- Adiposa dolorosa
- Malignant fibrosarcoma
- Malignant melanoma
- Inflammation of abdominal wall
- Volvulus of the sigmoid colon
- Chronic large bowel obstruction
- Megacolon
- Dynamic ileus
- Advanced pyloric stenosis
- Acute gastric dilatation
- Congestive heart failure
- Cirrhosis
- Nephrotic syndrome
- Carcinomatosis peritonei
- Tuberculous peritonitis
- Severe chronic constipation
- Malignant peritoneal disease
- Pseudomyxoma peritonei
- Encysted ascites
- Hydatid cysts
- Subphrenic abscess
- Pus accumulation from a ruptured appendix
- Pus accumulation from a ruptured duodenal ulcer
- Perforation of inflamed diverticulum
- Carcinoma of sigmoid colon
- Pelvic abscess
- Gangrenous appendicitis
- Gynecological infection
- Pelvic surgery
- Peritonitis
Differential Diagnosis of Underlying Etiology
| Cardiovascular | No underlying causes |
| Chemical / poisoning | No underlying causes |
| Dermatologic | No underlying causes |
| Drug Side Effect | Meropenem, |
| Ear Nose Throat | No underlying causes |
| Endocrine | No underlying causes |
| Environmental | No underlying causes |
| Gastroenterologic | No underlying causes |
| Genetic | No underlying causes |
| Hematologic | No underlying causes |
| Iatrogenic | No underlying causes |
| Infectious Disease | No underlying causes |
| Musculoskeletal / Ortho | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional / Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | No underlying causes |
| Opthalmologic | No underlying causes |
| Overdose / Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | No underlying causes |
| Renal / Electrolyte | No underlying causes |
| Rheum / Immune / Allergy | No underlying causes |
| Sexual | No underlying causes |
| Trauma | No underlying causes |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |
References
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:5 ISBN 140510368X
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:6 ISBN 1591032016
- ↑ Raftery, Andrew, Lim, Eric. Churchill’s Pocketbook of Differential Diagnosis. London, UK: Elsevier Limited, 2005:17-21 ISBN 0443100616
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