A Clinical Study Of Right Iliac Fossa Mass

shetty, sunil kumar and *, Shankar M (2013) A Clinical Study Of Right Iliac Fossa Mass. The Internet Journal of Surgery, 30 (4). pp. 1-36.

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Abstract

Background and Objectives A mass in the right iliac fossa is a common diagnostic problem encountered in clinical practice, requiring skill in diagnosis. A swelling in the right iliac fossa may arise from the structures normally present in that region or from structures, which are abnormally situated in the region. The mass could be intra-abdominal or extra-abdominal. The common swellings which occur in the right iliac fossa are appendicular lump, carcinoma of the cecum, ileocecal tuberculosis and Crohn’s disease (common in the West). Rare swellings are actinomycosis, ameboma, psoas abscess and lymph node masses. A clinical diagnosis is often difficult due to other conditions such as obesity and guarding, with the mass being palpable only when patient is on the operating table. Methods Fifty patients with signs and symptoms of a right iliac fossa mass admitted to the hospital attached to Sri Deveraj Urs Medical College (South India) were included in the study. Gynecological, extra-abdominal or bony swellings, masses from abnormal structures and children of less than 10 years were excluded from the study. Results In our study, appendicular lumps (masses and abscesses) constituted 52%, ileocecal tuberculosis 22% and carcinoma of the cecum 16%, followed by iliopsoas abscesses in 8% (which all turned out to be of tubercular origin). Interestingly, one case turned out to be Non-Hodgkin lymphoma. Conclusion Appendicular lumps remain the most common mass in the right iliac fossa. Ileocecal tuberculosis is one of the most important differential diagnoses for chronic abdominal pain in the rural population.

Item Type: Article
Uncontrolled Keywords: appendicular lump, ileocecal tuberculosis, iliopsoas abscess, right iliac fossa mass, south india
Subjects: Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 14 Oct 2013 05:03
Last Modified: 14 Oct 2013 05:03
URI: http://eprints.manipal.edu/id/eprint/137470

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