Abdominal Mass with Intermittent Pain in Young Male - Diagnostic Workup and Management

Case at a Glance

A 33-year-old male presents with a palpable abdominal mass discovered on ultrasound, associated with mild intermittent pain. The patient has been monitoring symptoms for two months without significant progression.

Patient's Story

The patient initially sought medical attention for abdominal discomfort and underwent ultrasound imaging which revealed a mass lesion. He describes the pain as very intermittent and mild when present. Physical examination reveals a visible subcutaneous lump that is palpable, and the patient reports sensation of intra-abdominal movement when pressure is applied to the area. He denies feeling pressure or fullness in the affected region. Over the past two months since initial imaging, the patient has not noticed any change in size of the mass, nor has there been any increase in pain frequency or intensity.

Initial Assessment

Ultrasound imaging demonstrated a mass lesion requiring further evaluation. The patient was initially evaluated at an urgent care facility where the imaging was ordered. Subsequent laboratory work including complete blood panel showed elevated cholesterol levels but was otherwise unremarkable with no other significant abnormalities noted.

The Diagnostic Journey

Following the ultrasound findings, the urgent care provider recommended specialist consultation for further evaluation. The patient has scheduled appropriate follow-up care with a physician for comprehensive assessment. Due to insurance limitations, there has been a delay in obtaining tissue biopsy, which is planned for the coming months when financially feasible for the patient.

Final Diagnosis

Abdominal mass of undetermined etiology pending histopathological confirmation via biopsy.

Treatment Plan

Conservative monitoring with scheduled specialist consultation. Tissue biopsy planned for definitive diagnosis once patient can arrange payment for the procedure. Patient education provided regarding warning signs that would necessitate immediate medical attention.

Outcome and Follow-up

Patient remains stable with no progression of symptoms over two-month observation period. Specialist consultation scheduled with plan for tissue sampling to establish definitive diagnosis. Patient counseled that while the stable clinical course over two months suggests the lesion may not be immediately emergent, timely follow-up remains important for appropriate diagnosis and management.