RIGHT ILIAC FOSSA MASS- EVALUATION AND MANAGEMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 33
Abstract
BACKGROUND Mass in the Right Iliac Fossa (RIF) has since long exercised the minds of many surgeons. The various pathologies, multiple and varied modes of presentation of each disease entity, the difficulties encountered in investigative modality, diagnosis and treatment, make masses presenting in RIF a difficult entity to treat even at tertiary care centres. Aim: The study was undertaken to assess the pattern of presentation of mass in RIF and to identify factors which will help in diagnosis and better management. MATERIALS AND METHODS This is a prospective observational study conducted in the Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, in patients with mass in RIF admitted from September 2014 to August 2016. Variables studied include age, sex, symptoms such as fever, vomiting, loss of weight, mass per abdomen, duration of symptoms, clinical signs, haematology, ultrasonography and barium study findings, mode of management, complication and outcome. Data was analysed using SPSS version 21. RESULTS In this study of 100 cases, 64% of cases were related to appendicular pathology either as appendicular mass or appendicular abscess. There were 14 cases of ileocaecal tuberculosis and 12 cases of carcinoma caecum. The youngest patient was 11 years old presenting with appendicular mass and the oldest was 60 years of age with carcinoma of caecum. Appendicular mass manifested most commonly between 20 - 29 years (21%) followed by 30 - 39 years. Appendicular abscess was common in the 30 - 39 years’ age group. Ileocaecal tuberculosis was common in 30 - 49 years (71.4%). Carcinoma caecum was seen in older age group of 50 - 59 years (75%). Appendicular mass (70.33%) and appendicular abscess (68.75%) were commoner in males. 71.42% of males were diagnosed with ileocaecal tuberculosis and carcinoma caecum was found in 83.33% of the male patients. CONCLUSION Of the 100 cases, 17 cases were managed conservatively, and 83 cases underwent surgery. Out of 40 cases of appendicular mass, 16 cases were taken up for surgery immediately, whereas rest of the 24 cases were managed by Ochsner-Sherren regimen and appendicectomy was done at a later date.
Authors and Affiliations
Sunilkumar Singh Salam, Laitonjam Chinglensana, Sandesh O, Nongmaithem Mackson Singh, Manoharmayum Birkumar Sharma
Keywords
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- EP ID EP541580
- DOI 10.14260/jemds/2018/818
- Views 88
- Downloads 0
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