Introduction: Evaluation of abdominal lump
may pose difficulty in surgical practice. In a basic
anatomic approach, the abdomen is separated into
9 regions of epigastric, umbilical, hypogastric,
right hypochondriac, right lumbar, right iliac, left
hypochondriac, left lumbar, left iliac. As abdominal
lumps are seen in widely varying range it is not
correct to group them under a single diagnostic
category. Therefore, to diagnose an abdominal lump
step wise evaluation is required in the form of clinical,
radiological and histopathological evaluation.

Materials and Methods: This study included patients
presenting with palpable abdominal lump. Complete
detailed history and clinical examination were
taken prior to any investigation to find out possible
clinical diagnosis. Radiological investigations were
done to support the clinical diagnosis. After which
laparotomy was performed and excised specimen
was sent for histopathological examination to reach
the final diagnosis.

Results: 60 cases with abdominal lump were
included in the study depending on inclusion and
exclusion criteria. Male to Female ratio was 1:1.4. The
mean age was 43.77 ± 12.92. Right iliac region was
the most involved quadrant (25%). Most of these
lumps were gastrointestinal in origin (30%). Clinical
examination in total had accuracy of 96.67% which
was similar to Radiological investigation. Most of
the cases were non neoplastic (56.67%) and out of
neoplastic cases (43.33%), around 14(54%) cases were
benign and 12 (46%) were malignant.

Conclusion: Most of the cases of abdominal lump can
be well evaluated clinically in terms of the diagnosis
and organ of the origin.Both clinical examination and
radiological investigation have equal sensitivity as far
as organ of origin is concern. Histological diagnosis
which is confirmatory helps to distinguish between
neoplastic and nonneoplastic lesions and is vital for
patient management.
 

Keywords: Abdominal lump; Clinicopathological
correlation; Clinical diagnosis; USG; CT; MRI;
neoplastic non-neoplastic; Histopathological
diagnosis