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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  177. Started reading without much expectation and ended on a high note, and a look at blog44hard continued that arc, content that builds rather than peaks early is a sign of a writer who knows how to structure a piece for sustained reader engagement rather than relying on a strong hook to do all the work.

  179. Bookmarking this for later, the kind of resource I want to keep nearby, and a quick look at tactpath confirmed the rest of the site is worth the same treatment, definitely going into my reference folder for the next time the topic comes up at work or in conversation with someone who asks.

  180. However casually I came to this site I have ended up reading carefully, and a look at nutmegneon continued earning that careful reading, the conversion from casual visitor to careful reader is something content earns rather than demands and this site has accomplished that conversion for me over the course of just a few pieces.

  181. Now sitting back and recognising that this was a small but real win in my reading day, and a stop at blog44imagine extended that quiet win, the cumulative effect of small reading wins versus the cumulative effect of small reading losses is real over time and this site is contributing to the wins side of that ledger.

  183. Reading more of the archives is now on my plan for the weekend, and a stop at flavorjourneyhub confirmed the archive worth the time, the rare archive worth a dedicated reading session rather than just casual sampling is the rare archive of serious work and this site has clearly produced enough of that work to warrant the deeper exploration.

  186. Reading this on a difficult day was a small bright spot, and a stop at appolive extended that brightness, content that improves a hard day is content that has earned a particular kind of place in my reading habits and this site is occupying that uplifting role for me today which I appreciate clearly.

  190. Genuine pleasure to read, and that is not something I say often after a casual click through, and a quick visit to kraftkit kept the same feeling going across the rest of the site, finding writing that actually feels good to spend time with rather than just functional is increasingly rare on the open web.

  195. Decent post that improved my afternoon a small amount, and a look at jupiterjoy 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.

  196. Took something from this I did not expect to find, and a stop at nexusnodey added another unexpected useful piece, content that exceeds expectations rather than just meeting them is the kind that builds enthusiasm and earns repeat visits without any explicit ask from the writer or platform behind the work being read.

  199. Genuinely good work, the kind that holds up over multiple readings without losing its appeal, and a stop at filterfactory kept that going, definitely a site I will be returning to and probably mentioning to others who work in or care about this particular area of interest today and in coming weeks.

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