Evaluation of RIFmasses: Is Ultrasonography the First Investigation of Choice?
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 6
Abstract
Abstract: This is a prospective study of sonographic evaluation of 102 patients with right iliac fossa (RIF) masses which includes patients of all age groups and both sexes.In this study the efficiency of ultrasound (US) in diagnosing presence of various RIF masses, the clinicosonographic spectrum of RIF masses, accuracy of US in comparison to clinical assessment in the determination of the organ of origin and pathological nature of RIF mass by Ultrasonography (USG) were evaluated in a systematic manner.The maximum number of cases belonged gastrointestinal pathology (53%) followed by genitourinary pathologies (32%) and 15% cases belonged to non-Gastrointestinal (GI) non-Genitourinary (GU) origin. US is superior to clinical assessment in detecting the organ of origin in RIF masses especially in cases of genitourinary and non-GI non-GU cases. US has high diagnostic accuracy in diagnosing the pathological nature of RIF masses (over all accuracy-92%) while it is 100% accurate in case of appendicular mass, in detecting normal cases, normal variants( clinically diagnosed as RIF masses) , uterine mass, lymphnodal mass and ileocolicintussuception. USG had 100% sensitivity, specificity, positive and negative predictivity and accuracy in detecting presence of mass in the present study. US avoided unnecessary intervention in management in patients with right iliac fossa and is a safe, easily accessible, cost effective and non-invasive imaging modality in providing prudent knowledge of pathology thus, enabling the clinician to make baseline diagnosis. Therefore we propose USG to be the first investigation of choice in evaluation of RIF’s masses. Keywords:Gastrointestinal, genitourinary, appendicular lump, intussuception, ileocaecal tuberculosis, carcinoma caecum, ovarian mass, right psoas abscess, lymph nodal mass
Authors and Affiliations
Dr. Priya Kale, Dr. Swarnava Tarafdar, Dr. S. K. Kale, Dr. A. T Tayade
Keywords
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