DIFFERENTIAL DIAGNOSIS OF RIGHT ILIAC FOSSA MASS AND THEIR MANAGEMENT

Abstract

Background: Right iliac fossa mass is a common clinical entity encountered in routine surgical practice. The mass arises from different anatomical structures with varied aetiologies that require a high clinical suspicion in its management. The reason being that the mass may range from being benign to most aggressively malignant lesion which encompasses various specialities of surgery like genitourinary, vascular, gynaecological and colorectal surgery. This was a prospective observational study conducted betw Methods: een October 2021 and September 2022 in Silchar Medical College and Hospital, Silchar, Assam. 45 cases were studied after detailed history and physical examination, relevant investigations were done, and different surgical procedures done were noted and histopathological examination of resected specimens was done. In this series Results: out of 45 patients studied, 35 patients (77.5%) were diagnosed to have appendicular mass, 05 cases (11%) appendicular abscess, 02 cases (4.5%) ileocaecal TB, 02 cases (4.5%) psoas abscess, 01 cases (2.5%) Ca Caecum. Most commonly encountered in 3rd decade followed by 4th decade of life with male predominance. RIF mass is a challenging clinical sce Conclusions: nario for the surgeons. Keeping in mind the various differential diagnosis with good clinical acumen supported by appropriate investigations, patients with RIF mass can be managed appropriately either by conservative or surgical management.