Abstract
Background: A mass in the right iliac fossa is a common diagnostic problem encountered in clinical practice, requiring skill in diagnosis.
 Methods: 100 patients with signs and symptoms of right iliac fossa mass admitted in 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 .
 Result: In this study of out of 100 cases, 65.00% of cases were related to appendicular pathology either in the form of appendicular mass or appendicular abscess. There were 12.00% cases of ileocaecal tuberculosis.
 Conclusion: Appendicular lump remains the most common cause for right iliac fossa pain. Ileocaecal tuberculosis is one of the most important differential diagnoses for pain abdomen.
 Keywords: Appendicular Mass, Ileocaecal Tuberculosis, Carcinoma Caecum, Right Iliac Fossa Mass.
Highlights
Pain right iliac fossa is one of the most common presentations of the patients reporting at the emergency. department.[1]
The differential diagnosis of the patients presenting with acute pain R.I.F is not always straightforward and a number of conditions may be responsible for pain at this site
Appendicectomy is the most common emergency general surgical procedure performed in any hospital, its diagnosis still remains difficult and a negative appendicectomy rate of 15- 30% rising up to 50% in women of reproductive age has been reported
Summary
Pain right iliac fossa is one of the most common presentations of the patients reporting at the emergency. department.[1]. Pain right iliac fossa is one of the most common presentations of the patients reporting at the emergency. Department.[1] Nearly 75% of the cases presenting with acute abdominal pain can be attributed to the right lower quadrant of the abdomen.[2] The differential diagnosis of the patients presenting with acute pain R.I.F is not always straightforward and a number of conditions may be responsible for pain at this site. In most of the cases, first diagnosis to be considered is acute appendicitis, which is undoubtedly the most common surgical emergency.[3] appendicectomy is the most common emergency general surgical procedure performed in any hospital, its diagnosis still remains difficult and a negative appendicectomy rate of 15- 30% rising up to 50% in women of reproductive age has been reported. There is a long list of surgical and medical problems including right ureteric colic, nonspecific mesenteri lymphadenitis,ruptured ectopic gestation, pelvic inflammatory disease, ruptured functional ovarian cysts, amoebiasis, viral gastroenteritis, acute cholecystitis, perforated duodenal ulcer, Crohn's colitis, right basal pneumonia etc which can present a acute pain in R.I.F and can create a diagnostic problem. 6 So the familiarity with the conditions other than appendicitis presenting as acute pain in R.I.F as well as their management is very important
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Medical and Biomedical Studies
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
