What is the cause of epigastric pulsation?

Abdominal aortic aneurysms are the commonest cause of pulsatile tender epigastric masses but may be mimicked by other serious conditions. Objective clinical and imaging assessment is vital in ensuring appropriate management.

What is aortic pulsation in abdomen?

You’re most likely just feeling your pulse in your abdominal aorta. Your aorta is the main artery that carries blood from your heart to the rest of your body. It runs from your heart, down the center of your chest, and into your abdomen. It’s normal to feel blood pumping through this large artery from time to time.

Where is the aortic pulsation?

The aortic pulse can be palpated just above and to the left of the umbilicus. The width of the aorta can then be measured by placing both hands palms down on the patient’s abdomen, with one index finger on either side of the aorta. Each systole should move the fingers apart.

What does a pulsating abdominal mass indicate?

Clinical palpation of a pulsating abdominal mass alerts the clinician to the presence of a possible abdominal aortic aneurysm (AAA), a common vascular disorder seen in older individuals, more commonly in male patients with a history of hypertension and smoking [1–3].

What is an epigastric hernia symptoms?

What are the signs and symptoms of umbilical and epigastric hernias?

  • A bulge in the affected area.
  • Pain — which can range from a dull ache to severe pain — especially when coughing, sneezing or lifting heavy objects.
  • Bloating or constipation.

What is the most common symptom in a client with an abdominal aortic aneurysm?

Pain is the most common symptom of an abdominal aortic aneurysm. The pain associated with an abdominal aortic aneurysm may be located in the abdomen, chest, lower back, or groin area. The pain may be severe or dull. Sudden, severe pain in the back or abdomen may mean the aneurysm is about to rupture.

Do I need surgery for an epigastric hernia?

Most epigastric hernias require a surgical procedure at some point in time. The open approach is done from the outside through an incision over the palpable mass. The incision will extend through the skin, subcutaneous fat, and allow the surgeon to get to the level of the defect.

How serious is an epigastric hernia?

An epigastric hernia is a common condition caused by a weakness in your abdominal wall between your belly button and sternum. If left untreated, an epigastric hernia can cause serious complications.

Is epigastric pain serious?

Epigastric pain is not a serious symptom on its own. However, if it occurs with other life-threatening symptoms, it may be a sign of a condition that should receive immediate medical treatment, such as a heart attack.

What are the causes of epigastric pulsations?

Causes of Epigastric pulsations. Cardiology , notes , practical notes. Prominent epigastric pulsations are seen in. Right ventricular enlargement. Aortic pulsation in thin individual. Aortic aneurysm. Vascular tumours of the liver. Mass over the aorta (transmitted pulsations) Transmitted hepatic pulsations in tricuspid incompetence.

What is a prominent pulsatile aorta?

A prominent pulsatile aorta is a frequent normal finding in thin patients with elongated left lobe of the liver, and in elderly thin patients with scoliosis and tortuous aorta.

Is tender pulsatile abdominal mass a sign of aortic aneurysm?

Whilst tender pulsatile abdominal masses are a common clinical scenario; their clinical signs are insensitive and may fail to reveal the diagnosis or identify serious co-morbidities in patients with confirmed aneurysms [1]. This case shows that even an enlarged left lobe of the liver can present like an aortic aneurysm patient.

What is the differential diagnosis of pulsatile upper abdominal mass?

We have summarised the differential diagnosis of a pulsatile upper abdominal mass in (Table 1). These mainly involve structures and viscera that lie in the epigastrium. By far the most common differential diagnosis is an aneurysm of abdominal aorta (fig. 3), rarely superior mesenteric artery.