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Abdominal Mass, Pediatric

Maireade E. McSweeney, MD, MPH Reviewed 10/2018
 


BASICS

DESCRIPTION

A palpable lesion or fullness in the abdominal cavity which may or may not be related to abdominal viscera or a lesion detected on abdominal imaging; the mass may be abdominal or ret...

DIAGNOSIS

  • Approach to patient

    • When evaluating a pediatric abdominal mass, an organized approach is critical:

      • Phase 1: Perform a careful clinical history and abdominal examination in order to help assess...

TREATMENT

GENERAL MEASURES

  • Immediate hospitalization for patients who present with an abdominal mass and/or signs of dehydration, intestinal obstruction, bleeding, feeding intolerance, or clinical deco...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Will be dictated by type of mass or lesion found 

ADDITIONAL READING

  • Chandler JC, Gauderer MW. The neonate with an abdominal mass. Pediatr Clin North Am.  2004;51(4):979–997. [View Abstract on OvidInsights]

  • Golden CB, Feusner JH. Malignant abdomi...

CODES

ICD9

  • 789.30 Abdominal or pelvic swelling, mass, or lump, unspecified site

  • 789.1 Hepatomegaly

  • 789.2 Splenomegaly

  • 787.3 Flatulence, eructation, and gas pain

  • 564.7 Megacolon, other than Hirschsprung's

  • 77...

FAQ

  • Q: What congenital anomaly can often serve as a lead point for volvulus or intussusception?

  • A: Gastrointestinal duplication cysts

  • Q: What type of therapy may result in quick resolution of a benign l...

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