Possible Causes for epigastric mass Pancreatic Abscess On admission, an elastic hard mass with tenderness was palpable in the epigastric region. [ncbi.nlm.nih.gov] A 50-year-old female was referred to our hospital because of postprandial epigastric pain and pancreatic head mass. [ncbi.nlm.nih.gov] Early-Stage Gastric Cancer […] and adjacent mucosa ulcerated carcinoma (penetrating cancer): 70% of all gastric cancers 4 Ultrasound Not useful, unless a large epigastric mass is present or on endoscopic [radiopaedia.org] On examination, an epigastric mass may be felt but clinical signs are usually completely absent, especially in the early stages. [teachmesurgery.com] Some other signs of advanced disease include a mass in the upper, center region of the abdomen (epigastric mass) or enlargement of the liver (hepatomegaly). [rarediseases.org] Hepatocellular Carcinoma Abdominal examination showed irregular mass present in the epigastric and right hypochondrial region which moves with respiration and continuous with liver border. [ijmpo.org] Provisional diagnosis made as liver mass for evaluation. Investigations showed anemia with normal renal function test and liver function test. [ijmpo.org] Leiomyosarcoma Abdominal pain, weight loss, epigastric tenderness & abdominal mass are the most commonly presenting symptoms [ 4 ]. [casesjournal.biomedcentral.com] On physical examination, there was no tenderness and palpable mass. [indjvascsurg.org] Castleman disease (hyaline vascular subtype) in a 44-year-old woman who presented with epigastric pain. [pubs.rsna.org] Pancreatic Pseudocyst mass. [ncbi.nlm.nih.gov] The presenting complaints in our patient were epigastric mass and postprandial vomiting. [ncbi.nlm.nih.gov] Abdominal examination Firm, tender epigastric mass is felt, with indistinct lower edge, and inability to get above the swelling. It moves slightly with respiration. [surgicomania.blogspot.com] Malignant Neoplasm of the Stomach On examination, a nontender epigastric mass was palpated. [nejm.org] On examination, an epigastric mass may be felt but clinical signs are usually completely absent, especially in the early stages. [teachmesurgery.com] epigastric mass was significantly more common among females (Table 2 ). [doi.org] Malignant Neoplasm of the Pancreas We report a 23-year-old female who presented with upper abdominal pain of long duration and epigastric mass on palpation. [ijpmonline.org] Progressive, severe back pain, incidental findings of lung and or liver nodules, a palpable, fixed, epigastric mass are indicative of late stage of the disease and is most [themedicalcityclark.com] […] or back pain, jaundice, pruritus, a palpable abdominal mass, recent onset of diabetes, and clay-colored stools if the pancreatic and biliary ducts are obstructed. [medical-dictionary.thefreedictionary.com] Lesser Sac Abscess Physical examination revealed a firm, epigastric mass that did not move with respiration. [journalofmas.com] Pancreatic Adenocarcinoma Progressive, severe back pain, incidental findings of lung and or liver nodules, a palpable, fixed, epigastric mass are indicative of late stage of the disease and is most [iorbitnews.com] On palpation, an abdominal mass in the epigastric region may be felt, as well as an enlarged gallbladder (as per Courvoisier’s Law) Courvoisier’s Law Courvoisier’s law states [teachmesurgery.com] epigastric region. [jgo.amegroups.com] Gastric Adenocarcinoma […] and adjacent mucosa ulcerated carcinoma (penetrating cancer): 70% of all gastric cancers 4 Ultrasound Not useful, unless a large epigastric mass is present or on endoscopic [radiopaedia.org] Late in the course, abnormalities include an epigastric mass; umbilical, left supraclavicular, or left axillary lymph nodes; hepatomegaly; and an ovarian or rectal mass. [merckmanuals.com] […] a dependent or posterior wall; filling defect in barium pool lesion on non-dependent or anterior wall; etched in white by a thin layer of barium trapped between edge of mass [radiopaedia.org] Abdominal Visceral Abscess […] rumbling Vomiting purple / black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses Sweating of head Heartburn Afternoon mental depression [americandragon.com] Abdominal and flank distention worse with pressure Dislike of pressure and Heat on epigastrium Pain predominates over distention or Pain but no distention Worse after eating Epigastric [americandragon.com] Retroperitoneal Abscess No abdominal masses or organomegaly were palpated. Bilateral 3 pitting leg edema was noted. [thefreelibrary.com] The abdomen was distended, bowel sounds were active, and he was tender to palpation over the upper abdomen, more pronounced in the left hypochondrium and epigastric region [thefreelibrary.com] Stomach Abscess Keywords : Epigastric appendiceal abscess INTRODUCTION Appendiceal abscesses represent 2.3% of all the cases of acute appendicitis 1 ) and usually present a mass in the right [kjim.org] Hypertrophic Pyloric Stenosis At this point, the possibility of IHPS was entertained and test-feeding was done but no epigastric mass was palpable. [panafrican-med-journal.com] Unlike infants, an upper abdominal mass is rarely palpable in adult IHPS. [symptoma.com] Therefore, relying almost exclusively on the palpation of epigastric masses will result in missed and delayed diagnosis. [panafrican-med-journal.com] Gastric Leiomyoma The main symptoms are epigastric pain, nausea, vomiting, weight loss, sideropenic anaemia, epigastric palpable mass. [web.tiscali.it] Abstract A 62 year-old man was admitted with the chief complaint of a epigastric pain and difficulty of swallowing. [ncbi.nlm.nih.gov] Abdominal examination revealed epigastric distention and a tympanic mass in the epigastric area was appreciated. [ispub.com] Duodenal Carcinoma Endoscopy showed duodenal mass in the third part of the duodenum. Endoscopic biopsy specimens of the lesion revealed duodenal adenocarcinoma. [academic.oup.com] 2019 Oxford University Press Close Navbar Search Filter Mobile Microsite Search Term Close search filter search input A 45-year-old man was admitted to our hospital with epigastric [academic.oup.com] Gastric Leiomyosarcoma He had no definite signs of peritonism (rebound tenderness, guarding, abdominal rigidity) but mild tenderness on deep palpation of an epigastric mass. [bmcresnotes.biomedcentral.com] Symptoms included weakness, gastrointestinal bleeding, and epigastric pain. An upper abdominal mass or tenderness was the most frequent physical finding. [ncbi.nlm.nih.gov] Methods: 49 year old male, presented with epigastric pain of several months duration. [sages.org] Duodenal Disease Weight loss, dehydration, and a hypo-chloremic, hypokalemic metabolic alkalosis may result; a tympanitic epigastric mass representing the dilated stomach with visible gastric [aafp.org] Choledochal Cyst […] alkaline pancreatic secretions into the biliary tree History / PE : Symptoms depend on age of presentation Abdominal pain, jaundice, recurrent pancreatitis (kids) Vague epigastric [medlibes.com] We report on a 68-year-old woman who had experienced epigastric abdominal distension and nausea for over 1 year. [ncbi.nlm.nih.gov] Adults may present with the following: Abdominal pain: Most common symptom Vague epigastric or right upper quadrant pain; can develop jaundice or cholangitis One or more severe [emedicine.medscape.com] Epigastric Hernia Epigastric mass measuring 14 10 cm in an elderly male patient with acute abdominal pain Ultrasonographic study showing epigastric hernia with a hole measuring 2.3 cm on [ncbi.nlm.nih.gov] —An 84-year-old man with a 15-year history of a reducible epigastric hernia was admitted with abdominal pain, vomiting, and a tender, irreducible 15-cm epigastric mass with [jamanetwork.com] Dr Virendra Parikh of Fort Wayne, Ind, found a slightly tender, vague epigastric mass that extended to the right upper quadrant. Signs of peritonitis were absent. [patientcareonline.com] Vaginal Candidiasis Nonesophageal gastrointestinal candidiasis The following symptoms may be present: Epigastric pain Nausea and vomiting Abdominal pain Fever and chills Abdominal mass (in some [emedicine.medscape.com] Ovarian Cyst A large abdominal mass was visible and palpable in the periumbilical and epigastric regions. [ncbi.nlm.nih.gov] Hypertension […] hyperthyroidism, pheochromocytoma, and neuroblastoma Growth retardation to assess for chronic renal failure Café au lait spots to assess for neurofibromatosis Abdominal mass [web.archive.org] […] to assess for Wilms tumor and polycystic kidney disease Epigastric and/or abdominal bruit to assess for coarctation of the abdominal aorta or renal artery stenosis BP difference [web.archive.org] Bezoar Physical examination revealed a firm, tender, epigastric mass but was otherwise unremarkable. [content.nejm.org] The clinical presentation may be a palpable, firm, non-tender epigastric mass, which is either discovered, on routine physical examination in an asymptomatic patient or as [bmcsurg.biomedcentral.com] Partial Pyloric Obstruction The infant may present with failure to retain feeds, persistent non-bilious vomiting after feeds, a palpable epigastric mass [which is the thickened pylorus] and dehydration [sonoworld.com] An epigastric mass became palpable at one month of age. The infant died of shock and bradycardia one day later. Figure 2. Figure 2. [nejm.org] Weight loss, dehydration, and a hypo-chloremic, hypokalemic metabolic alkalosis may result; a tympanitic epigastric mass representing the dilated stomach with visible gastric [aafp.org] Phlegmon Phlegmons typically present as palpable epigastric masses which are solid on sonography and computerized tomography. [ncbi.nlm.nih.gov] Clinically, a phlegmon may be confused with other pancreatic masses, especially a pseudocyst. [ncbi.nlm.nih.gov] Abstract One of the significant complications of pancreatitis is the development of a pancreatic phlegmon, a noninfected solid mass of inflamed pancreatic and retroperitoneal [ncbi.nlm.nih.gov] Gastroesophageal Reflux Disease mass New-onset atypical symptoms at age 45–55 years. [worldgastroenterology.org] […] of HB, acid regurgitation, dysphagia, and epigastric pain; and patient-reported time to HB relief with antacids/H 2 RAs. [web.archive.org] […] persistent cough Gastrointestinal tract bleeding Frequent nausea and/or vomiting Persistent pain Iron-deficiency anemia Progressive unintentional weight loss Lymphadenopathy Epigastric [worldgastroenterology.org] Congenital Pyloric Stenosis The infant may present with failure to retain feeds, persistent non-bilious vomiting after feeds, a palpable epigastric mass [which is the thickened pylorus] and dehydration [sonoworld.com] Examination: Palpable olive shaped mass (1.5-2cm) to the right of epigastric area. Visible gastric peristalsis from Lt. upper quadrant to epigastrium s/o dehydration [slideshare.net] Hepatic Nodular Hyperplasia Rating: #D2, #Q3 Diagnosis: Focal Nodular Hyperplasia Brief history: A 33 year old woman was noted to have an epigastric mass during a routine postpartum physical exam. [gamma.wustl.edu] May present with pain in the right upper quadrant or the epigastric region. A palpable mass may be noticed by the patient. [patient.info] mass on routine physical exam six months after the birth of her first child. [gamma.wustl.edu] Neoplasm of Ampulla of Vater Epigastric mass (late). Palpable gallbladder: Courvoisier's sign (a palpable gallbladder in the presence of painless jaundice) occurs in fewer than 25% of patients. [patient.info] The physical exam showed a fixed epigastric mass measuring 5 cm without pain. Lab tests were normal. [latunisiemedicale.com] Patients presenting with rapid weight loss, persistent back pain, ascites, an epigastric mass or enlarged supraclavicular node (Virchow's node) are likely to have advanced [patient.info]
