Nodulo o grumo all’addome, cause e cosa fare

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Può capitare che in uno dei punti dell’addome si possa sentire al tatto un nodulo, un gonfiore o rigonfiamento: può essere molle, duro, stabile o che si sposta. Dipende dalla causa che lo ha generato. Analizziamo le più comuni e cosa fare.

nodulo addome

Nodulo all’addome, le cause

Tra le possibili cause di un nodulo o rigonfiamento all’addome troviamo le ernie: queste si verificano quando alcuni organi interni spingono attraverso un punto debole nella parete addominale. Si solito si sviluppano in seguito alla distensione dei muscoli provocata dal sollevamento di un qualcosa di molto pesante, in conseguenza di una tosse cronica o in caso di stitichezza.

Ci sono diversi tipi di ernie, tre delle quali possono produrre un grumo/ nodulo evidente e sono risolvibili con la chirurgia.

  • Ernia inguinale: si verifica in seguito ad una debolezza nella parete addominale. Può provocare dolore se ci si piega, tossisce o se si sollevano pesi. In molti casi però è asintomatica, fino a quando la condizione peggiora. Di per sé, un’ernia inguinale non è dannosa, ma va tenuta sotto controllo perché può causare complicazioni, come la perdita di sangue o ostruzioni intestinali. La risoluzione è chirurgica.
  • Ernia ombelicale: è localizzata vicino all’ombelico. E’ più comune nei bambini, e spesso scompare con la crescita, entro i 3 anni. Il segno classico di un ernia ombelicale è un nodulo che si può vedere o toccare quando il bimbo piange.
  • Laparocele: si forma in seguito ad un taglio chirurgico.

Altre le cause meno comuni che possono creare un grumo all’addome:

  • Ematoma: in genere dopo un infortunio, tende a formare anche un livido sopra la pelle e a risolversi spontaneamente con il passare del tempo.
  • Lipoma: è un grumo di grasso che si accumula sotto la pelle. Si muove leggermente se spinto e toccato. I lipomi crescono molto lentamente, possono verificarsi ovunque sul corpo, e sono quasi sempre benigni. Possono essere rimossi chirurgicamente, ma nella maggior parte dei casi, non è necessario.
  • Testicolo ritenuto: i testicoli si formano nell’addome e poi scendono nel scroto . In alcuni casi, uno o ambedue non scendono completamente. Ciò può causare un piccolo nodulo vicino all’inguine in neonati maschi e può essere corretto con la terapia ormonale o con la chirurgia atta a portare il testicolo nella giusta posizione.
  • Tumore: anche se molto raro, un tumore benigno o meno in un organo nell’addome o nella pelle o dei muscoli può causare un rigonfiamento evidente. Il trattamento dipende dal tipo di tumore e dalla sua posizione precisa.

Quando recarsi dal medico e cosa fare

Se si sente o si vede un nodulo nell’addome che non è possibile identificare, è importante rivolgersi al proprio medico curante per un appuntamento, e anche con un chirurgo. Se oltre alla massa si fosse in presenza anche di febbre, vomito o dolore circostante, è meglio recarsi ad un pronto soccorso perché potrebbe trattarsi di un’emergenza.

In genere un’ernia viene diagnosticata durante l’esame fisico. È quindi possibile discutere le modalità di una correzione chirurgica. Se il medico invece non ritiene che il nodulo sia un’ernia, può richiedere ulteriori test. Per un ematoma o lipoma, è probabile che non hanno bisogno di ulteriori prove, ma se un tumore si sospetta, potrebbe essere necessario test di imaging come la TAC per determinare la sua posizione ed estensione. Potrebbe anche essere necessaria una biopsia (rimozione dei tessuti) per determinare se il tumore è benigno o maligno (cancro).

Leggete anche:

Ernia iatale, cause, sintomi e rimedi

Ernia del disco

 

Foto: Thinkstock

Fonte: Mayo clinic

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  189. If I had to summarise the editorial sensibility of this site in a few words it would be careful and human, and a look at trustedshoppingnetwork extended that summary feeling, capturing the essence of a sites approach in brief is hard but this site has a clear enough identity that the summary comes naturally enough.

  190. Now considering carefully how to share this site with the right audience rather than broadcasting widely, and a look at cavarobonding extended that careful sharing impulse, content worth sharing carefully rather than spamming is content that has earned a higher kind of recommendation and this site has earned that careful shareability throughout pieces.

  191. The clarity here is something I really appreciate, especially compared to sites that pile on jargon for no reason, and a look at lixor was the same, simple direct sentences that actually deliver information instead of dancing around the point for paragraphs at a time which wastes reader patience.

  193. Recommended to anyone working in or curious about this area, the depth and clarity combine well, and a look at auralbrig keeps that going across more pages, the kind of site that earns regular visits rather than chasing trends has my respect because it suggests genuine commitment to the topic itself rather than to chasing trends.

  194. Will recommend this to a couple of friends who have been asking about this exact topic, and after vexarobridge I have even more reason to do so, the kind of site that earns word of mouth rather than chasing it through aggressive marketing or paid placements is always a treat to find online.

  195. Really like that the writer trusts the reader to follow simple logic without restating every previous point, and a stop at ulvionholdings kept that respect going, treating an audience as capable adults rather than as people who need constant hand holding makes a noticeable difference in the reading experience for me.

  196. Comfortable read, finished it without realising how much time had passed, and a look at qurix pulled me into more pages the same way, the absence of friction in good content lets time disappear and that is one of the highest compliments I can pay any piece of writing I find online during a regular search session.

  197. Now understanding why someone recommended this site to me a while back, and a stop at mexto explained the recommendation, sometimes recommendations make sense only after experience and this site has finally clicked into place as the kind of resource I now understand was being recommended for sound editorial reasons by my friend.

  200. Decent post that improved my afternoon a small amount, and a look at korva added a bit more to that, sometimes the small wins online add up over time and a useful site like this one is the kind of place that contributes consistently to those small wins for me lately across many different topics I follow.

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