{"id":20363,"date":"2026-07-31T10:32:47","date_gmt":"2026-07-31T10:32:47","guid":{"rendered":"https:\/\/woncaeurope2026.org\/sessions\/physical-examination-and-clinical-ultrasound-keys-to-diagnosing-occult-abdominal-masses-in-primary-care\/"},"modified":"2026-07-31T10:32:47","modified_gmt":"2026-07-31T10:32:47","slug":"physical-examination-and-clinical-ultrasound-keys-to-diagnosing-occult-abdominal-masses-in-primary-care","status":"publish","type":"wsa_session","link":"https:\/\/woncaeurope2026.org\/fr\/sessions\/physical-examination-and-clinical-ultrasound-keys-to-diagnosing-occult-abdominal-masses-in-primary-care\/","title":{"rendered":"Physical Examination and Clinical Ultrasound: Keys to Diagnosing Occult Abdominal Masses in Primary Care"},"content":{"rendered":"<p>Retroperitoneal masses are uncommon and clinically silent, often found incidentally. Primary Care, through physical examination and point-of-care ultrasound (POCUS), plays a crucial role in their early detection and diagnostic orientation.A 67-year-old woman with postmenopausal bleeding was followed for a large uterine fibroid. In a Primary Care consultation, a globular, asymmetric abdomen was noted. A POCUS exam revealed the absence of normal structures (bowel, kidney) in the right hemiabdomen. An urgent abdominal X-ray confirmed massive displacement of bowel loops to the left. This prompted a rapid referral. A CT scan identified a giant (28x24x12 cm) fatty retroperitoneal mass. A CT-guided biopsy confirmed a benign lipomatous neoplasm, with negative MDM2 amplification ruling out liposarcoma. Staging showed no metastasis.While giant retroperitoneal tumors are typically described in hospital settings, this case highlights the diagnostic sequence initiated in Primary Care. The use of POCUS and a plain X-ray to identify indirect signs of displacement and guide the need for advanced imaging distinguishes this pathway from standard practice.The non-visualization of normal anatomical structures on POCUS is a critical indirect sign of a space-occupying lesion, even in paucisymptomatic patients. The combination of physical exam, POCUS, and basic radiology provides key information for clinical decision-making and efficient referral.Increased use of POCUS in Primary Care enhances detection capability. Lipomatous masses can grow extensively before causing symptoms. Differentiation between benign and malignant lesions requires clinico-radiological and histological correlation, with MDM2 status being a key molecular determinant.Giant retroperitoneal masses can be suspected from indirect findings using basic Primary Care tools. POCUS, combined with plain radiography and clinical interpretation, is decisive for early orientation and optimizing referral. This case reinforces the essential role of Primary Care in early detection and care coordination, underscoring the value of clinical ultrasound training.<\/p>\n","protected":false},"template":"","class_list":["post-20363","wsa_session","type-wsa_session","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session\/20363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session"}],"about":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/types\/wsa_session"}],"wp:attachment":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/media?parent=20363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}