Retrospective Analysis of Right Iliac Fossa Mass: A Single-Center Study

Abstract

BackgroundRight iliac fossa mass is one of the most common clinical scenarios a surgeon encounters during their surgical practice. It poses a critical diagnostic dilemma for surgeons and requires considerable diagnostic skills. Its clinical diagnosis becomes difficult in the presence of comorbidities, such as severe obesity and guarding, as in these cases, the mass becomes palpable only upon the administration of a relaxant. MethodsA total of 108 patients admitted to Bhima Bhoi Medical College & Hospital, exhibiting signs and symptoms of mass in the right iliac fossa upon cross-examination, were included in the study. We recorded their detailed clinical history and performed physical examinations, including erect abdomen, chest (postanterior view), and contrast x-rays, ultrasonogram; and CT scans. ResultsIn this study, patients with appendicular masses, appendicular abscesses, ileocecal tuberculosis, cecum carcinoma, ovarian tumors, and parietal lipoma accounted for 45.3%, 17.5%, 12.9%, 7.4%, 6.4%, and 4.6% of the total cases, respectively, whereas patients with retroperitoneal tumors, parietal abscesses, and ileocecal lymphadenopathy accounted for 1.8% each.

Role of ultrasonography in evaluation of right iliac fossa mass compared to CT scan

“…This study is matching the equal sex incidence of male and female with Bharat Kumar Behera et al study. 14 The percentage of USG sensitivity with respect to CT scan for ileocecal tuberculosis in our study is 66.7 as compared to 89.28 in the study of Madhushankar et al…”

“…Page 1631 said USG abdomen correctly diagnosed 97% of RIF masses, so the investigation of choice in RIF mass is USG abdomen, which was comparable 7,[12][13][14]. Martinez-Ares et al said that USG abdomen is 79% sensitive and 92% specific for the diagnosis of colonic carcinoma, which was comparable 15.…”