A study on right iliac fossa mass

Authors

  • Anita Samraj Department of General Surgery, Saveetha Medical College, Saveetha University, Thandalam - 602105, Chennai, Tamil Nadu, India
  • Sanjay Prakash J. Department of General Surgery, Saveetha Medical College, Saveetha University, Thandalam - 602105, Chennai, Tamil Nadu, India
  • Muthukumaran G. Department of General Surgery, Saveetha Medical College, Saveetha University, Thandalam - 602105, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20174142

Keywords:

Carcinoma of the colon, Ileocaecal tuberculosis, Intussusception, Psoas abscess, Non - Hodgkins lymphoma

Abstract

Background: Patients with mass in the right iliac fossa may confront the surgeon, pediatrician or gynecologist. Thus, thorough understandings of the anatomy and pathological process that may occur within the abdomen are essential for an accurate diagnosis and plan of treatment. The objective of this study was to interpret aetiopathology, clinical presentation, differential diagnosis and management of mass in the right iliac fossa.

Methods: A total of 60 cases with mass in the right iliac fossa (RIF) were included in the study. Investigations like colonoscopy and CT scan were done. All the cases underwent right hemicolectomy followed by chemotheraphy. Other cases like psoas abscess, non-hodgkins lymphoma, Meckels diverticulum and intussusception were diagnosed and treated.

Results: During this study period, a total number of 36 cases of appendicular mass and 10 cases of appendicular abscess were encountered. In this study 10 cases of appendicular abscess were encountered and treated by extraperitoneal drainage, 4 cases of ileocaecal kochs were encountered. Patients presented with constitutional symptoms like pain, fever, weight loss etc. Right hemicolectomy was done, specimens after operative procedures were examined microscopically and histopathological diagnosis. 3 cases of carcinoma caecum and 3 cases of carcinoma ascending colon were seen. Contrast enema was done which showed filling defect and mucosal irregularities.

Conclusions: This study showed that appendicular mass is the commonest pathology in right iliac fossa amongst all and conservative treatment followed by interval appendicectomy is the best mode of treatment. Carcinoma of the colon and ileocaecal tuberculosis is the other two common causes for mass in the right iliac fossa. These cases also carry a good prognosis, if properly diagnosed and treated. The other rare causes of mass in the right iliac fossa are intussusception, psoas abscess and Non Hodgkins lymphoma.

Author Biographies

Anita Samraj, Department of General Surgery, Saveetha Medical College, Saveetha University, Thandalam - 602105, Chennai, Tamil Nadu, India

Surgery

Sanjay Prakash J., Department of General Surgery, Saveetha Medical College, Saveetha University, Thandalam - 602105, Chennai, Tamil Nadu, India

Surgery

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Published

2017-09-27

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Original Research Articles