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105: Abdominal Masses
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Published:May 2023
Elizabeth Halvorson, MD, MS, FAAP, "Abdominal Masses", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Abdominal masses may be caused by a range of conditions, from benign (eg, constipation) to life-threatening (eg, neuroblastoma), and many are found incidentally by a parent or health care provider. Masses can be associated with solid organs, the mesentery, or the bowel. A mass may also represent organomegaly, which may suggest an infiltrative disorder. The initial hospitalization is usually focused on the diagnostic evaluation, with imaging (often ultrasonography [US]) findings as the mainstay of diagnosis.
Presenting symptoms will vary, based on the size and location of the mass. These may include abdominal pain (localized or diffuse), abdominal distention, early satiety,...