AN OVERVIEW OF RIGHT ILIAC FOSSA MASS IN VIMSAR, ODISHA – A HOSPITAL BASED RETROSPECTIVE CLINICO-PATHOLOGICAL STUDY
DOI:
https://doi.org/10.48047/Keywords:
Carcinoma of the colon, Ileocaecal tuberculosis, Intussusception, Psoas abscess, Non – Hodgkins lymphomaAbstract
Background : Mass in the right iliac fossa is a common clinical entity encountered in surgical practice. It is one diagnosis that has a varied range of pathologies and fits in aptly to the description that the abdomen is a pandora’s box.The main intention of this study is to know the varying modes of presentation, different modalities of diagnosis, treatment and management of right iliac fossa mass and
to identify factors which can help in better management of these cases .Aim Of The Study :To study various diseases which can presents as mass in the right iliac fossa. Methods: Fifty patients presenting to the Department of General Surgery, VIMSAR, Sambalpur, Odisha between January 2022 and January 2023 with a clinical diagnosis of Right Iliac Fossa Mass were included in the study. A detailed clinical history was elicited and a careful general physical and systemic examination was carried out along with the necessary investigations. Appropriate management was done.. .. Follow up period – 1 month .
Results: The Data obtained in the study was analyzed, and it was found that the male to female ratio was 2.8:1. Most patients were of appendicular pathology. Appendicular mass was seen in 22 patients and appendicular abscess in 6 patients. Appendicular pathology was seen in younger age groups and Carcinoma caecum was common in older group. In this series ileocaecal tuberculosis formed 18% of cases taken up for study of mass in the right iliac fossa most common only to appendicular mass. Carcinoma, caecum formed 16% of cases of present study. 75% cases were seen in the age group above 50 years and oldest patient of this study was aged 68 years. In present study 22% of cases of ileocaecal tuberculosis had associated pulmonary tuberculosis so patients with ileocaecal tuberculosis should be evaluated for chest symptoms and subjected for sputum AFB. Patients were also analyzed based on clinical parameters, few laboratory investigations and the mode of treatment
