Title: Clinical Study of Mass in Right iliac Fossa
Authors: Dr Pramod D Nichat, Dr Kavita V Jadhav*, Dr Rukmini P Waghmare, Dr Sudeept Kanungo, Dr Avinash V Gonnade, Dr Ajay H Bhandarwar
DOI: https://dx.doi.org/10.18535/jmscr/v6i9.179
Abstract
Aims & Objectives: To study clinical entities presenting as mass in right iliac fossa in relation to incidence, age & sex distribution, clinical presentation, modality of diagnosis, types of management, complications.
Material & Methods: Present study is prospective observational descriptive type of study. 100 patients were included with clinical features suggestive of right iliac fossa mass. Patients admitted in general surgical wards during the period of October 2015 to October 2017 at tertiary hospital of Mumbai were included in this study.
Results: Present study showed that intestinal tuberculosis (60%) was the most common cause for right iliac fossa mass followed by appendicular lump(20%), carcinoma caecum (12%), crohn’s disease (1%) and non hodgekin’s lymphoma(1%). Contrast enhanced computed tomography of abdomen with pelvis is investigation of choice for RIF mass. Accordingly, patients can be successfully managed by conservatively completely like in ileocaecal tuberculosis or by surgical intervention and by oncological management.
Conclusion: The surgeon must keep in mind that even though tuberculosis and mass of appendicular origin are common in the RIF, precautions must be taken not to miss the rarer causes, in order to diagnose and treat them at the earliest.
Keywords: Right iliac fossa mass.
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