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
Related Articles
- EP ID EP410356
- DOI -
- Views 161
- Downloads 0
Comparative study for the treatment of lower third ureteral calculi between laser lithotripsy and other lithotripsies
Background and Objectives: To compare and to assess the safety and efficacy of laser lithotripsy versus other lithotripsies in the management of lower third ureteral calculi. To look for complications and clinical outcom...
Study of effect of rational hyperoxia in perioperative period on rate of surgical site infection
Background: Oxygen supplemented at a concentration higher than 40–50 % for at least 2 h perioperatively is expected to reduce surgical site infections (SSI). Supplemental perioperative oxygen has been variously reported...
Preoperative Serum Albumin as an Independent Predictor of Post-Operative Morbidity
Background: Approximately one-third to one-half of hospitalized patients are malnourished at the time of admission, and this nutritional status can not only adversely affect a patient’s clinical condition, but adversely...
Risk factors associated with surgical site infections in abdominal surgeries
Background: Surgical site infection (SSI) is associated with prolonged hospital stay, increased morbidity, mortality and sanitary costs, and reduced patients’ quality of life. Many hospitals have adopted guidelines of sc...
Comparing efficacy of retrograde intrarenal surgery with extra corporeal shockwave lithotripsy for lower pole renal calculi
Treatment of stone disease is based mainly on location of stone and stone burden. The current treatment options range from shock wave lithotripsy (SWL), Percutaneous nephrolithotripsy (PCNL) to Retrograde Intra-Renal Sur...