An abdominal mass is most often found during a routine physical exam. Most of the time, the mass develops slowly. You may not be able to feel the mass. Show Locating the pain helps your health care provider make a diagnosis. For example, the abdomen can be divided into four areas:
Other terms used to find the location of abdominal pain or masses include:
The location of the mass and its firmness, texture, and other qualities can provide clues to its cause. CausesSeveral conditions can cause an abdominal mass:
Home CareAll abdominal masses should be examined as soon as possible by the provider. Changing your body position may help relieve pain due to an abdominal mass. When to Contact a Medical ProfessionalGet medical help right away if you have a pulsating lump in your abdomen along with severe abdominal pain. This could be a sign of a ruptured aortic aneurysm, which is an emergency condition. Contact your provider if you notice any type of abdominal mass. What to Expect at Your Office VisitIn nonemergency situations, your provider will perform a physical exam and ask questions about your symptoms and medical history. In an emergency situation, you will be stabilized first. Then, your provider will examine your abdomen and ask questions about your symptoms and medical history, such as:
A pelvic or rectal exam may be needed in some cases. Tests that may be done to find the cause of an abdominal mass include:
Alternative NamesMass in the abdomen Images
ReferencesBall JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Abdomen. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel's Guide to Physical Examination. 9th ed. St Louis, MO: Elsevier; 2019:chap 18. Landmann A, Bonds M, Postier R. Acute abdomen. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 46. McQuaid KR. Approach to the patient with gastrointestinal disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 123. Review Date 10/10/2020Updated by: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Why do I have a bulge on the left side of my abdomen?A mass or abdominal lump on the lower left abdomen can most commonly be caused by skin conditions like cysts, abscess, or growth of fatty tissue known as lipoma. If you have a lump that causes pain on the left side of the abdomen, you may also have a hernia or an ovarian cyst if you are female.
Why do I have a lump under my left rib cage?The most common reason for a lump forming on the ribs is something known as a lipoma, which is a collection of fatty tissue. This type of lump can lie beneath the surface of the skin covering a rib. They are usually painless, freely mobile under your fingers and stay the same over time.
Why does my abdomen bulge on one side?Most often, a lump in the abdomen is caused by a hernia. An abdominal hernia occurs when there is a weak spot in the abdominal wall. This allows the internal organs to bulge through the muscles of the abdomen. A hernia may appear after you strain, or lift something heavy, or after a long period of coughing.
What does a cancerous lump in abdomen feel like?The most common symptom is the lymph node feels hard or swollen. Swollen lymph nodes in the chest can make it difficult to swallow. You might have severe upper abdominal pain that moves into your back if you have cancer in the lymph nodes in the back of your abdomen.
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