Abdominal distention: Difference between revisions
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==Background== | <languages/> | ||
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==Background== <!--T:1--> | |||
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[[File:Scheme body cavities-en.png|thumb|Lateral view showing abdominopelvic cavity.]] | |||
[[File:Figure 34 01 10f.png|thumb|Gasterointestinal anatomy.]] | |||
*Defined as: diffuse swelling or enlargement of the abdomen. | *Defined as: diffuse swelling or enlargement of the abdomen. | ||
**It can also apply to the sensation of elevated abdominal pressure and volume. | **It can also apply to the sensation of elevated abdominal pressure and volume. | ||
==Clinical Features== | |||
[[File:Hepaticfailure.jpg|thumb||Ascites secondary to [[cirrhosis]].]] | ==Clinical Features== <!--T:3--> | ||
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[[File:Hepaticfailure.jpg|thumb||Ascites secondary to [[Special:MyLanguage/cirrhosis|cirrhosis]].]] | |||
*Diffuse swelling or enlargement of the abdomen (or the sensation of such) | *Diffuse swelling or enlargement of the abdomen (or the sensation of such) | ||
==Differential Diagnosis== | |||
==Differential Diagnosis== <!--T:5--> | |||
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{{DDX abdominal distention}} | {{DDX abdominal distention}} | ||
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==Evaluation== <!--T:6--> | |||
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*May be obvious on physical exam (e.g. obesity) | *May be obvious on physical exam (e.g. obesity) | ||
*Consider ultrasound as a first test (e.g. obesity vs. ascites) | *Consider ultrasound as a first test (e.g. obesity vs. ascites) | ||
*If unsure, consider CT abdomen | *If unsure, consider CT abdomen | ||
==Management== | |||
==Management== <!--T:8--> | |||
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*Depends on underlying etiology. | *Depends on underlying etiology. | ||
==Disposition== | |||
==Disposition== <!--T:10--> | |||
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*Depends on underlying etiology. | *Depends on underlying etiology. | ||
==External Links== | ==See Also== <!--T:12--> | ||
==External Links== <!--T:13--> | |||
==References== <!--T:14--> | |||
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<references/> | <references/> | ||
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[[Category:GI]] | [[Category:GI]] | ||
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Latest revision as of 02:15, 5 January 2026
Background
- Defined as: diffuse swelling or enlargement of the abdomen.
- It can also apply to the sensation of elevated abdominal pressure and volume.
Clinical Features
Ascites secondary to cirrhosis.
- Diffuse swelling or enlargement of the abdomen (or the sensation of such)
Differential Diagnosis
Abdominal distention
- Obesity
- Intestinal obstruction
- Pregnancy
- Ascites
- Cirrhosis
- Malignancy
- Heart failure
- Tuberculosis
- Spontaneous bacterial peritonitis
- Peritoneal dialysis-associated peritonitis
- Distended bladder / Acute urinary retention
- Constipation / fecal impaction
- Large tumor(s) (e.g. ovarian, lymphoma)
- Organomegaly
Evaluation
- May be obvious on physical exam (e.g. obesity)
- Consider ultrasound as a first test (e.g. obesity vs. ascites)
- If unsure, consider CT abdomen
Management
- Depends on underlying etiology.
Disposition
- Depends on underlying etiology.