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35 Possible Causes for Epigastric Mass, Projectile Vomiting

  • 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] A 34-day-old girl was admitted with chief complaints of projectile vomiting and poor weight gain.[ncbi.nlm.nih.gov] Unlike infants, an upper abdominal mass is rarely palpable in adult IHPS.[symptoma.com]

  • 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] The features of projectile vomiting, a pyloric olive and visible peristalsis were studied and their clinical and diagnostic significance was compared with that of radiological[ncbi.nlm.nih.gov] .  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]

  • Bezoar

    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] I've been vomiting so much tonight that I pulled a muscle in my back and in my abdomen. I have been violently projectile vomiting but I haven't eaten anything![emilysstomach.com]

  • Infantile Hypertrophic Pyloric Stenosis 1

    At this point, the possibility of IHPS was entertained and test-feeding was done but no epigastric mass was palpable.[panafrican-med-journal.com] In contrast, projectile vomiting was controlled within 10 days in 17 patients.[adc.bmj.com] 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]

  • Gastric Volvulus

    Abdominal examination revealed a soft, tender and resonant epigastric mass with no visible peristalsis. Digital rectal examination was normal.[tropicalgastro.com] The vomiting was projectile, nonbilious, and the content was milk.[ncbi.nlm.nih.gov] Until otherwise proved, pancreatic pseudocyst becomes an obvious diagnosis in an epigastric swelling following upper abdominal trauma.[tropicalgastro.com]

  • Intestinal Atresia

    She was noted to have distended abdomen with an epigastric mass at birth.[ispub.com] There is failure to gain weight and the projectile vomiting is characteristic. Projectile vomit has no bile in it.[patient.info] Symptoms and clinical findings in the newborn include distended abdomen, epigastric mass, recurrent bilious emesis, and failure to pass meconium and jaundice (Dalla et al.[ispub.com]

  • Intrathoracic Gastric Volvulus

    On the 6th day non-bilious vomiting started again and an epigastric mass was palpable.[ncbi.nlm.nih.gov] Methods A 16-month-old female infant presented with a history of projectile non-bilious vomiting for 2 days and mild hematemesis for the last day.[link.springer.com] In the chest X-ray: air bubble above the diaphragm (Photo 1) or retrocardiac mass (Photo 2).[portalesmedicos.com]

  • Hereditary Multiple Intestinal Atresia

    She was noted to have distended abdomen with an epigastric mass at birth.[ispub.com] There is failure to gain weight and the projectile vomiting is characteristic. Projectile vomit has no bile in it.[patient.info] , non-bilious vomiting in the first month of life usually suggests IHPS, which may result with serious malnutrition, dehydratation, and acid-base imbalance.[afrjpaedsurg.org]

  • Common Mesentery

    Case report A 63-year-old woman in menopause for 10-years, HCV-carrier, experiencing pelvic pain, with palpable pelvic mass extended to epigastric region and elevated CA-125[giog.it] Failure to recanalize the duodenum can result in stenosis (narrowing) or atresia (complete blockage), the symptoms of which would be bilious projectile vomiting an hour or[web.duke.edu] Coexistence of an ovarian tumor and gastrointestinal stromal tumor is unreported in literature: Carlomagno et al. (6) reported an epigastric mass associated with an ovarian[giog.it]

  • Duodenal Hematoma

    A plain abdominal radiograph confirmed the presence of a mass in the epigastric region.[dx.doi.org] The patient developed diffuse abdominal pain and projectile vomiting three days after the endoscopic treatment.[ncbi.nlm.nih.gov] A 14-year-old boy was admitted to the hospital with the complaints of epigastric pain and vomiting for three days following epigastric trauma.[researchgate.net]

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