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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pulsating Abdominal Mass, Have Lipoma. History Of Surgical Removal Of Hernia

Hello,

I have a pulsating abdominal mass on the left side of the belly button. The pulse can be felt at all times. The mass extends in a semi circle on the felt side of the belly button to approximately one and half inch. So the mass seems to elongated rather than completely round. There is one area where the pulse can be felt more strongly than at other places along and around the mass. The mass begins on the left right above the belly button.

I have approximately a dozen lipomas, of various sizes going from the size of a seed to that of an orange, around my body, including one that is intramuscular. However, any of these lipomas pulsate.

Finally, I have a tiny hernia on the belly button, which had been removed surgically 10 years and returned. It is fairly insignificant.

I am concerned about the abdominal pulsating. I have high cholesterol (299 gr), including high good cholesterol and low tryglecerides.
Thu, 31 Oct 2013
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Pediatrician, Cardiology,  's  Response
To diagnose the condition, the doctor will need to perform a thorough examination of the abdomen. He or she will also check the pulse points of different areas of the body, especially in the lower extremities. When a mass in abdominal area, combined with a stiffened abdomen that displays a pulsing sensation is presented, it could mean that either a rupture of the aorta is imminent or that it has already occurred. Using ultrasonography, the presence of an abdominal aneurism can be confirmed. As further confirmation, an angiogram may also be required. This is performed through the injection of dye directly into the artery using a thin tube called a catheter. The catheter, after inserted into the artery, is then fed through the artery until it reaches the aorta in question. If present, the dye will clearly outline the aneurism that will be visible to the doctor in an x-ray.

When the presence of an aneurism through a routine examination where a pulsating abdomen condition is noted, it can generally be treated without surgery. Controlling blood pressure will be the first course of action. Large aneurisms have a greater risk of rupturing, and may warrant surgery to remove it if the individual is in general good health.

For individuals who are diagnosed with abdominal aneurisms, close monitoring of these anomalies will be conducted to ensure they do not worsen. In some cases, further treatment including surgery may be indicated. While common and usually not serious, any aneurism should be considered as a potential threat.



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Pulsating Abdominal Mass, Have Lipoma. History Of Surgical Removal Of Hernia

To diagnose the condition, the doctor will need to perform a thorough examination of the abdomen. He or she will also check the pulse points of different areas of the body, especially in the lower extremities. When a mass in abdominal area, combined with a stiffened abdomen that displays a pulsing sensation is presented, it could mean that either a rupture of the aorta is imminent or that it has already occurred. Using ultrasonography, the presence of an abdominal aneurism can be confirmed. As further confirmation, an angiogram may also be required. This is performed through the injection of dye directly into the artery using a thin tube called a catheter. The catheter, after inserted into the artery, is then fed through the artery until it reaches the aorta in question. If present, the dye will clearly outline the aneurism that will be visible to the doctor in an x-ray. When the presence of an aneurism through a routine examination where a pulsating abdomen condition is noted, it can generally be treated without surgery. Controlling blood pressure will be the first course of action. Large aneurisms have a greater risk of rupturing, and may warrant surgery to remove it if the individual is in general good health. For individuals who are diagnosed with abdominal aneurisms, close monitoring of these anomalies will be conducted to ensure they do not worsen. In some cases, further treatment including surgery may be indicated. While common and usually not serious, any aneurism should be considered as a potential threat.