Diagnostic modalities and treatment approach in patients with a mass in right iliac fossa
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 1
Abstract
Background: Mass in the right iliac fossa is a common clinical condition that a surgeon faces in one’s day to day practice.Diagnosis of mass in the RIFmainly depends on clinical examination and investigations. Aim: To know the different modalities of diagnosis and treatment in our set up and to identify factors which can help in better management of these cases. Material and Methods: A total of 50 patients presenting with the complaint of a mass in the right iliac fossa were studied. Relevant history and investigations including ultrasound abdomen and pelvis, CT Scan abdomen and pelvis, IVP and barium follow through and enema, FNAC, Biopsy) were done to conclude the final diagnosis. Appropriate treatment and was done. Results: The most common diagnosis was appendicular mass (48%) which was diagnosed using ultrasonogram and in 28% of the study subjects ileocaecal TB was diagnosed by means of contrast enhanced CT and for 12% of the patients, it was carcinoma caecum which was diagnosed by using colonoscopy with biopsy. Most of the cases of appendicular mass or abscess drainage and excision was done and for 28% of the patients who were with ileocaecal TB, anti-tuberculosis treatment was given. Conclusion: Appendicular mass is the commonest pathology in right iliac fossa and conservative treatment followed by interval appendicectomy is the best mode of treatment. Carcinoma of the colon and ileocaecal tuberculosis were the other two common causes for mass in the right iliac fossa. These cases also carry a good prognosis, if properly diagnosed and treated.
Authors and Affiliations
E M J Karthikeyan, Alagappan P R
Keywords
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