Possible Causes for Abdominal Thrill Mesenteric-Portal Fistula The pathophysiology of AVF that acts as a left-to-right shunt has accounted for clinical symptoms and signs such as abdominal pain, thrill and mass, lower and upper gastrointestinal [astr.or.kr] […] pain, abdominal mass with thrill, upper or lower gastrointestinal (GI) bleeding, portal hypertension, ischemic colitis and cardiac failure[ 3 - 5 ]. [ncbi.nlm.nih.gov] […] pain 55.6% 62.5% 45.5% Lower GI bleeding 55.6% 56.3% 54.5% Abdominal mass/thrill 22.4% 12.5% 36.4% Upper GI bleeding 7.4% 0% 18.2% Ischemic colitis 33.3% 43.8% 18.2% Portal [ncbi.nlm.nih.gov] Abdominal Aortic Aneurysm A continuous abdominal bruit and a palpable abdominal thrill are suggestive of an aortovenous fistula. [saem.org] Renal Arteriovenous Fistula At physical examination, continuous abdominal bruit or palpable thrill may be present. [radiopaedia.org] Coarctation of the Aorta A thrill or hum due to flow in aberrant collateral vessels may be present over the chest or abdominal wall. [patient.info] Hypertension Overview of High Blood Pressure Blood pressure is the force of blood in the arteries. When the heart beats, blood propels in the arteries with force. This is called systolic blood pressure. When the heart relaxes after each beat, the force of the blood flow drops (called diastolic blood pressure ). Hypertension, or[…] [healthcommunities.com] Mesenteric Arteriovenous Fistula […] pain, abdominal mass with thrill, upper or lower gastrointestinal (GI) bleeding, portal hypertension, ischemic colitis and cardiac failure[3-5]. [ncbi.nlm.nih.gov] […] pain 55.6% 62.5% 45.5% Lower GI bleeding 55.6% 56.3% 54.5% Abdominal mass/thrill 22.4% 12.5% 36.4% Upper GI bleeding 7.4% 0% 18.2% Ischemic colitis 33.3% 43.8% 18.2% Portal [ncbi.nlm.nih.gov] […] pathophysiologic alteration of bowel function and manifest with a variety of signs and symptoms that are attributed to ischemic, congestive or hemodynamic mechanisms, including abdominal [ncbi.nlm.nih.gov] Bardet-Biedl Syndrome Type 3 Laurence-Moon-Bardet-Biedl Syndrome with Coexisting Abdominal Distension and Positive Fluid Thrill: A Rare Manifestation Reported in Karachi, Pakistan. [verywellhealth.com] Ovarian Adenoma A positive fluid thrill and negative shifting dullness suggesting encysted intra-abdominal fluid. There was no organomegaly. The bowel sound are positive but distant. [austinpublishinggroup.com] On abdominal examination, abdomen was grossly distended, engorged veins present, Fluid thrill was present. Abdominal girth at the level of the umbilicus was 42 inches. [casesjournal.biomedcentral.com] She had a lower midline scar with massive abdominal distention that was nontender and had a positive fluid thrill test result (Fig. 1). [jmedicalcasereports.biomedcentral.com] Bardet-Biedl Syndrome Type 13 Laurence-Moon-Bardet-Biedl Syndrome with Coexisting Abdominal Distension and Positive Fluid Thrill: A Rare Manifestation Reported in Karachi, Pakistan. [verywellhealth.com] Chylothorax This causes: Ascites, with which an abdominal fluid thrill will often be palpable and the abdomen may appear to be grossly swollen. [en.wikivet.net] Ovarian Cyst On examination abdomen was grossly distended with fluid thrill. [ncbi.nlm.nih.gov] A 16 year old unmarried girl presented with complaints of abdominal distension, vomiting, constipation, difficulty in breathing and restlessness. [ncbi.nlm.nih.gov] Vaginospasm […] guarding Is a False General finding of abdomen Inferred relationship Some Lumbar mass Is a False General finding of abdomen Inferred relationship Some Fluid thrill in abdomen [tx.fhir.org] Is a False General finding of abdomen Inferred relationship Some Abdominal rigidity Is a False General finding of abdomen Inferred relationship Some Abdominal hyperaesthesia [tx.fhir.org] […] measures of abdomen Is a False General finding of abdomen Inferred relationship Some Pouch of Douglas normal Is a False General finding of abdomen Inferred relationship Some Abdominal [tx.fhir.org] Postrenal Azotemia Abdominal enlargement and a fluid thrill are often detected during physical examination. [rvc.ac.uk] Congenital Vascular Anomalies of the Kidney Ultrasound showed dilated vascular channels in layers of posterior abdominal wall. [casereports.bmj.com] Clinical examination showed an ill-defined, soft, compressible mass in the left flank with palpable thrill and audible bruit. [casereports.bmj.com] Ruptured Aortic Aneurysm […] bruit (75%) Palpable thrill (25%) Differential Diagnosis Aortic Dissection Ureteric Colic Pancreatitis Intestinal ischemia Bowel obstruction Diverticulitis US Short Axis: [coreem.net] Abdominal Aortic Aneurysm (emergencyultrasoundteaching.com) Diagnostics Patients with ruptured aneurysms will often be diagnosed based on clinical presentation alone. [coreem.net] […] as any ruptured AAA Formation of a large arteriovenous (AV) fistula may occur if there is no external AAA leak Signs and Symptoms ( Cinara 2005 ) Palpable mass (80-90%) Abdominal [coreem.net] Tuberculid During a routine clinical review, an asymptomatic abdominal bruit and thrill were noted. [academic.oup.com] Extensive investigations including abdominal ultrasound, computed tomography (CT), magnetic resonance (MR) angiography and digital subtraction angiography confirmed a 4‐cm [academic.oup.com] Dursun Syndrome […] with palpated thrill in the upper epigastrium. [jpedsurg.org] In this report the authors suggest that the diagnosis of celiac artery compression should be considered in asymptomatic pediatric patients representing abdominal bruit or [jpedsurg.org] Lemierre Syndrome The cardiac exam revealed normal S1 and S2, a tachycardia, and a regular rhythm with no murmurs, gallops, or thrills. [consultant360.com] Abdominal examination was significant for hepatosplenomegaly. There was generalized tenderness to palpation but no peritoneal signs or masses were appreciated. [consultant360.com] Laurence Moon Syndrome Laurence-Moon-Bardet-Biedl Syndrome with Coexisting Abdominal Distension and Positive Fluid Thrill: A Rare Manifestation Reported in Karachi, Pakistan. [verywellhealth.com] Pancreatic Ascites Gross ascites causes tense abdominal distension that is unyielding to the examining hand. [surgwiki.com] Ascites is confirmed by the presence of a fluid thrill and shifting dullness on percussion. [surgwiki.com] An accessory hand prevents transmission of the shock wave through the subcutaneous fat of the anterior abdominal wall. [surgwiki.com] Femoral Hernia Athletic Pubalgia occurs following a small tear in rectus sheath through which impingement of abdominal wall musculature can occur, most often in young athletes, *Saphena [teachmesurgery.com] […] varix will disappear when lying flat, have palpable thrill when coughing, and there will be the presence of varicose veins elsewhere Investigations All patients with a femoral [teachmesurgery.com] Bardet-Biedl Syndrome Laurence-Moon-Bardet-Biedl Syndrome with Coexisting Abdominal Distension and Positive Fluid Thrill: A Rare Manifestation Reported in Karachi, Pakistan. [verywellhealth.com] CDK4-Linked Melanoma She had a lower midline scar with massive abdominal distention that was nontender and had a positive fluid thrill test result (Fig. 1). [jmedicalcasereports.biomedcentral.com] Polymicrogyria On examination, she was hypertensive (160/95 mm Hg), anemic, had facial puffiness and pedal edema, abdominal distention with fluid thrill, full flanks, and relaxed uterus. [japi.org] Disseminated Blastomycosis Abdominal examination failed to reveal any organomegaly, ascites, or fluid thrill. [ijpd.in] Peritoneal Metastasis Physical examination may be remarkable for: [4] Inspection Enlarged abdomen Abdominal distension Palpation Bulging of the flanks or shifting dullness Fluid thrill or fluid [wikidoc.org] Abdominal Hernia I am thrilled. No surgery and no living with a rupture in my abdominal wall! [thetummyteam.com] Oligohydramnios Abdominal examination: Inspection: overdistended abdomen. Palpation: The fundal level is higher than gestational age. The uterus is tense cystic. [gfmer.ch] Fluid thrill can be elicited. Malpresentation and nonegagement are common. Auscultation: faint FHS. Investigation Ultrasonography can reveal: Excessive amount of liquor. [gfmer.ch] Femoral Artery Occlusion A brief cardiovascular examination including heart rhythm, presence of pulsatile abdominal masses, and quality of pedal pulses is also useful. [vasculardiseasemanagement.com] Physical examination includes femoral pulse strength, presence/absence of thrill or bruit, pulsatile masses, groin swelling, and signs of infection or sepsis in cases of suspected [vasculardiseasemanagement.com] Acute Peritonitis Assess for shifting dullness and fluid thrill. Percussion can also be used to determine the size of an abdominal mass/extent of organomegaly. [patient.info]
