DIAGNOSTIC CHALLENGES POSED BY CLINICAL ENTITIES PRESENTING AS RIGHT ILIAC FOSSA MASS- A COMPARATIVE STUDY ON SENSITIVITIES OF CLINICAL, RADIOLOGICAL, AND HISTOPATHOLOGICAL DIAGNOSIS

Abstract

BACKGROUND: Numerous abdominal conditions manifest as palpable lumps during clinical 
examination. Identifying the location and clinical features of the lump is crucial in establishing a diagnosis 
in most cases. Nevertheless, some situations necessitate additional investigations, such as imaging, to 
validate clinical indicators, while others may require intraoperative or pathological analysis for a conclusive 
diagnosis. Various pathological conditions leading to a palpable lump in the right iliac fossa include an 
appendicular mass, carcinoma of the cecum, ileocecal tuberculosis, psoas abscesses, intussusceptions, and 
right ovarian tumor. Our aim is to identify key clues in patient history and examination findings to facilitate 
a specific clinical diagnosis. Subsequently, the sensitivity of clinical diagnosis is compared with imaging 
diagnosis. The accuracy of both clinical and imaging diagnoses is then evaluated against intraoperative and 
histopathologic findings