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Symptoms and Signs – Differential Diagnosis of Masses and swellings Abdomen

Right hypochondrium
Colonic mass
e.g. pancreatic cancer, gallbladder mass)
Enlarged gallbladder (empyema, mucocele, obstruction of the common bile duct
Enlarged kindey (See Kidney, enlarged)
Hepatomegaly (See Hepatomegaly)

Epigastrium
Gastric carcinoma
Large recti
Liver: left lobe, post-necrotic nodule of a cirrhotic liver
Pancreatic mass: carcinoma, pseudocyst

Left hypochondrium
Appendix mass
Carcinoma of caecum
Crohn's disease
Enlarged kidney
Iliac lymphadenopathy
Ovarian cyst
Pancreatic cancer
Right iliac fossa
Splenomegaly
TB (ileocaecal)
Transplanted pelvic kidney

Left iliac fossa
Colonic cancer
Crohn's disease
Diverticular disease
Iliac lymphadenopathy
Loaded sigmoid colon (esp. in constipation)
Ovarian cyst
Transplanted pelvic kidney

Suprapubic
Enlarged bladder
Fibroids
Ovarian cyst
Pregnant uterus

Inguinal
Ectopidundescended testis
Hernias (inguinal, femoral)
Hydrocoele of the cord
Lipoma of the cord
Lymphadenopathy
Psoas abscess
Vascular: saphena varix, femoral aneurysm


Scrotal
Indirect inguinal hernia
Hydrocele
Epididymal cyst
Spermatocoele
Testicular tumour
Gumma
Painful swellings



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