Management of Right Iliac Fossa Mass - Our Experience - Abstract
Background: A mass in the right iliac fossa is one of the commonest problems encountered in surgical practice, requiring skill to diagnose. A clinical diagnosis is often difficult due to other conditions like obesity and guarding, with the mass being palpable only when the patient is on operating table.
Methods: Fifty patients with signs and symptoms of right iliac fossa mass admitted under Osmania General Hospital were identified and were studied by taking detailed clinical history, physical examination and were subjected to various investigations like x ray erect abdomen, chest X-ray, contrast X-ray, ultrasonogram and colonoscopy.
Results: In the present study appendicular mass constituted 46%, appendicular abscess 18%, ileocecal tuberculosis 12%, carcinoma cecum 8%, ovarian tumors 6%, parietal lipoma 4%, and retroperitoneal tumor, parietal abscess and ileocecal tuberculosis all constituting 2% each.
Conclusion: Appendicular lump remains the most common cause for right iliac fossa mass. Ileocecaltuberculosis is one of the most important differential diagnoses for pain abdomen in rural population. (Though Hyderabad is a metro city, it covers surrounding 10 districts and Osmania General Hospital is a tertiary care centre where cases from these districts are referred.)