Abdominal Mass in Newborns

Aka: Abdominal Mass in Newborns, Neonatal Abdominal Mass

advertisement

II. Causes: Genitourinary and Retroperitoneal

  1. Hydronephrosis (e.g. vesicoureteric reflux)
  2. Bladder enlargement
  3. Renal vein thrombosis
  4. Cystic Kidneys (e.g. Multicystic dysplastic Kidneys)
  5. Mesoblastic nephroma
  6. Hydrocolpos
  7. Ovarian Mass (e.g. Ovarian Cyst, Teratoma)
  8. Adrenal Hemorrhage
  9. Neoplasm (e.g. Neuroblastoma, Rhabdomyosarcoma)

III. Causes: Gastrointestinal

  1. See Hepatomegaly in Newborns
  2. See Splenomegaly in Newborns
  3. Gastrointestinal Duplications
  4. Meconium ileus
  5. Mesenteric or omental cyst
  6. Pyloric Stenosis
  7. Volvulus

IV. Evaluation

  1. Abdominal XRay suggests Intestinal Obstruction
    1. Contrast radiographs
    2. Consult with pediatric surgery
  2. Abdominal Ultrasound
    1. Distinguishes cystic and solid lesions
    2. Evaluates Hydronephrosis, Renal Cysts, Bladder size
    3. Identifies Pyloric Stenosis
    4. Identifies Ovarian Mass
  3. Other imaging
    1. Abdominal MRI
    2. Abdominal CT
      1. See CT-associated Radiation Exposure (avoid if possible)

V. Labs

  1. Complete Blood Count
  2. Serum Electrolytes
  3. Urinalysis

VI. 'References

  1. Cloherty (1991) Neonatal Care, p. 501-4
  2. Fuloria (2002) Am Fam Physician 65(2):265-70 [PubMed]

Images: Related links to external sites (from Bing)

These images are a random sampling from a Bing search on the term "Abdominal Mass in Newborns." Click on the image (or right click) to open the source website in a new browser window. Search Bing for all related images

Related Studies

Related Topics in Surgery

advertisement