Details
Category: Volume 08 Issue 10 October 2020
Hits: 1074

Title: A Prospective Study on Right Iliac Fossa Mass

Authors: Dr Nithya .K, Dr Ramesh .R, Dr Ravichandran .K, Dr Jayaraman .R

 DOI: https://dx.doi.org/10.18535/jmscr/v8i10.36

Abstract

Background: The study was conducted to analyse the clinical presentation of right iliac fossa mass and its prevalence of various causes of RIF mass in patients who visit the department of general surgery. To evaluate age, sex, incidence, common etiological factors of RIF mass in patients. To evaluate the incidence of etiopathology and types of clinical presentation of RIF mass. To study the differential diagnosis, complications, morbidity, mortality and surgical management of the right iliac fossa that are seen in our hospital.

Methods: We conducted this study in the department of General Surgery, Rajah Muthiah Medical College from October 2018 to September 2020. 50 patients diagnosed with right iliac fossa mass were studied in terms of clinical presentation and evaluation with various other studies, the results obtained were correlated.

Results: Almost all patients presented with pain abdomen which is the most common presentation followed by right iliac fossa tenderness in 35 patients. Out of 50 patients fever was present in 30 patients. Vomiting present in 25 patients and weight loss in 15 patients. Appendicular mass was the common clinical presentation that is 20 out of 50 patients. Appendicular abcess present in 9 out of 50 in study group. Ileocaecal tuberculosis was present in 9 patients. Carcinoma caecum present in 10 patients followed by psoas abscess in 2 patients. Almost 60% of appendicular mass underwent medical management. All appendicular abcess underwent extra peritoneal drainage.

Keywords: Right iliac fossa mass, Appendicular mass, Appendicular abscess, carcinoma caecum, ileocaecal tuberculosis, psoas abscess.

References

  1. Patel J.P., Farthouat P, Thowad H, Flandrin P, Ann Chair 1998;52(4): 329-30.
  2. Moussaoui A, Rabii R, Hafiani M, Rais H. Ann Urol (Paris) 1998; 32(1):29-31.
  3. Rosati C, Huang SN, Ali J. Dept of Surg. University of Toronto. Can. J. Surg 1991 Aug;34(4):381-4.
  4. Bailey & Love’s Short practice of surgery.
  5. Symmonds DA and Vickery Al. Mucinbus carcinoma of colon abd rectum. Cancer 37:1891,1976.
  6. Duke’s C.E; The classification of cancer of rectum. J. Pathol. Bacteriol. 50:527,1940.
  7. Line Weaver W, Staging of colon cancer contemp. Surg 25:19,1984.
  8. American joint Committee on cancer. Manual for staging of cancer: colon and rectum. Philadelphia J.B. Lippincott company 1988;75-80.
  9. Prokash A, Ulcero – constrictive tuberculous of the bowel. Int. Surg. 1978; 63:23-9.
  10. Hammandi WJ, Thamer NA. Tuberculous of the bowel in Iraq. A study of 86 cases. Dis, Colon rectum 1965;8:158-64.
  11. Venables GS, Rana PSJB. Colonic Tuberculous, Postgrad Med.J. 1979, 55:276-8.
  12. Sakai Y. Coloscopic diagnosis of intestinal Tuberculosis. Semin Roentgenol 1979;14: 283-94.
  13. Thoeni RF, Margulin AR. Gasatrointestinal Tuberculosis Master Med Pol 1979;14:283-94.
  14. Carrera GF, Young S, Lewicki AM. Intestional Tuberculosis. Gastrointest. Radio. 1976;1:147-55.
  15. Paustian FF, Bocken HL. So called primar Ulcero hypertropic ileocaecal tuberculosis. Am J Med. 195;27:509-18.
  16. Howell JS, Knapton PJ, Illeocaecal Tuberulosis. Gut 1964;5:524-9.
  17. Tandon HD, Prokash A. Pathology of intestinal tuberculosis and its differentiation from Crohn’s disease. Gut. 1972;13:260-9.
  18. Lewis EA, Kolawole TM, Tuberculousileocolitis in Ibadan. A clinic Radiologycal review. Gut. 1972;13;646-53.
  19. Brombart et al. Radiological difference between ileocaecal tuberculosis and Crohn’s disease. Am J Dig. Dis:1961;6:589-622.
  20. Anscombe AR, Keddie NC, schofield PF, Caecal tuberculosis. Gut. 1967;337-43.
  21. Gershon – Cohen J, Kremens V. X-ray studies of the ileocaecal valve in ileocaecal tuberculosis. Radiology 1954;62:251-4.
  22. Rajwanshi et al. FNAC in diagnosis of tuberculosis. Diagnosis by FNAC. Acta Cytol. 1993;37:673-8.
  23. Radhika et al. abdominal tuberculosis. Diagnosis by FNAC. Acta Cytol. 1993; 37:673-8.
  24. Kedar et al. Sonographic findings in gastrointestinal and peritoneal tuberculosis. Clin Radiol. 1994;49:24-9.
  25. Kinkhabawala M, Dziadiw R. Arteriographic manifestation of tuberculosis of the splenic flexure and the stomach. Br.J.Rad.1971;44:384-7.

Corresponding Author

Dr Nithya .K

Post Graduate, Department of General Surgery, Rajah Muthiah Medical College, Chidambaram

Medical College, Chidambaram