scholarly journals Analysis of diagnostic laparoscopy in chronic right iliac fossa pain

2017 ◽  
Vol 4 (4) ◽  
pp. 1259
Author(s):  
Umesh Vaishnav ◽  
Harshad S. Patel
Keyword(s):  
Diagnostic Laparoscopy ◽  
Iliac Fossa ◽  
Laboratory Finding ◽  
Radiological Finding ◽  
Minimal Invasive ◽  
General Surgeon ◽  
Positive Finding ◽  
Surgical Department ◽  
Right Iliac Fossa Pain

Background: Chronic right iliac fossa pain with normal radiological and laboratory finding is common indication for diagnostic laparoscopy by general surgeon. Most common cause of chronic right iliac fossa pain is appendicitis. Laparoscopic appendectomy is commonly done in diagnostic laparoscopy if other cause is not found.Methods: Patients of all the age group and either gender, undergone diagnostic laparoscopy for chronic right iliac fossa pain longer than 3 months with normal radiological finding in the surgical department. Diagnostic and therapeutic role of laparoscope was assessed.Results: 83% patients were showing visible positive finding on diagnostic laparoscopy. On follow up after 1 month, 90% patients show reliving of pain.Conclusions: Diagnostic laparoscopy is minimal invasive surgical procedure. It is useful when other pathological and radiological investigations are inclusive.

scholarly journals The role of diagnostic laparoscopy versus ultrasonography and computerized tomography abdomen for chronic/recurrent right iliac fossa pain

2018 ◽  
Vol 5 (10) ◽  
pp. 3335
Author(s):  
Yaser Ahmed ◽  
Manzoor Ahmad Dar ◽  
Chrungoo R. K. ◽  
Uzma Gulzar
Keyword(s):  
Diagnostic Accuracy ◽  
Computerized Tomography ◽  
Diagnostic Laparoscopy ◽  
Iliac Fossa ◽  
Published Data ◽  
Chronic Appendicitis ◽  
Small Series ◽  
Right Iliac Fossa Pain ◽  
Better Than

Background: Chronic right iliac fossa pain (RIF) is a grey area in surgery. No guidelines are available on the best therapeutic approach. Published data are sparse and limited to small series.  Objective of this study was to study the role of diagnostic laparoscopy in chronic / recurrent right iliac fossa pain and to study role of diagnostic laparoscopy versus ultrasonography and computerized tomography abdomen for chronic/recurrent right iliac fossa painMethods: This study was conducted in fifty patients with a history of right iliac fossa pain for duration of three or more months. Each patient was subjected to USG and CT scan. Their findings were compared with findings of diagnostic laparoscopy.Results: Diagnostic accuracy of USG in detecting chronic appendicitis and intra-abdominal pathology as a cause of chronic/recurrent right iliac fossa pain was 66% with sensitivity 75%, specificity 60% and 46% with sensitivity 39.5%, specificity 85.5%. Diagnostic accuracy of CT in detecting chronic appendicitis and intra-abdominal pathology as a cause of chronic/recurrent right iliac fossa pain was 88% with sensitivity 80%, specificity 93.33% and 46% with sensitivity 41.86%, specificity 71.43%. The accuracy of diagnostic laparoscopy in diagnosing chronic/recurrent Appendicitis was 96% with sensitivity 95%; specificity 96.67%; PPV 95%; NPV 96.67%. The overall accuracy of diagnostic laparoscopy in diagnosing chronic/recurrent right iliac fossa pain was 96% with sensitivity 97.67%; specificity 85.71%; PPV 97.67%; NPV 85.71%.Conclusions: CT is better than USG in diagnosing various intra-abdominal pathologies as causes of chronic/recurrent right iliac fossa pain. More ever, it was evident that diagnostic laparoscopy is even better than the above mentioned modalities.

scholarly journals Giant sigmoid diverticulitis mimicking acute appendicitis

2011 ◽  
Vol 93 (6) ◽  
pp. e89-e90 ◽  
Author(s):  
M Anderton ◽  
B Griffiths ◽  
G Ferguson
Keyword(s):  
Computed Tomography ◽  
Iliac Fossa ◽  
Treatment Options ◽  
Sigmoid Diverticulitis ◽  
Acute Presentation ◽  
Rare Manifestation ◽  
Giant Sigmoid Diverticulum ◽  
Right Iliac Fossa Pain ◽  
Colonic Diverticula

Giant colonic diverticula are a rare manifestation of diverticular disease and there are fewer than 150 cases described in the literature. They may have an acute or chronic presentation or may remain asymptomatic and be found incidentally. As the majority (over 80%) of giant diverticula are located in the sigmoid colon, they usually present with left-sided symptoms but due to the variable location of the sigmoid loop, right-sided symptoms are possible. We describe the acute presentation of an inflamed giant sigmoid diverticulum with right iliac fossa pain. We discuss both the treatment options for this interesting condition and also the important role of computed tomography in the diagnosis and management of abdominal pain in elderly patients.

scholarly journals Role of C-Reactive Protein, White Blood Cell Counts, Bilirubin Levels, and Imaging in the Diagnosis of Acute Appendicitis as a Cause of Right Iliac Fossa Pain

Cureus ◽  
2018 ◽  
Author(s):  
Shetty Sushruth ◽  
Chellappa Vijayakumar ◽  
Krishnamachari Srinivasan ◽  
Nagarajan Raj Kumar ◽  
Gopal Balasubramaniyan ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Blood Cell ◽  
Iliac Fossa ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Cell Counts ◽  
Blood Cell Counts ◽  
Right Iliac Fossa Pain ◽  
White Blood Cell Counts

scholarly journals Torsion of undescended abdominal testicle in a 16-year-old and its management

2020 ◽  
Vol 13 (1) ◽  
pp. e232179
Author(s):  
Muhamamd Isfandyar Khan Malik ◽  
Joshua Abbas ◽  
Shariq Sabri ◽  
George Michael ◽  
Simon Ellenbogen
Keyword(s):  
Emergency Department ◽  
Testicular Torsion ◽  
Diagnostic Laparoscopy ◽  
Iliac Fossa ◽  
Abdominal Cavity ◽  
External Genitalia ◽  
Malignant Potential ◽  
Testicular Pain ◽  
Left Testicle ◽  
Right Iliac Fossa Pain

A 16-year-old boy attended the Emergency Department with sudden severe right iliac fossa pain and associated vomiting. He denied any urinary symptoms, diarrhoea or testicular pain. On examination, he had a locally tender right iliac fossa with guarding. External genitalia and testicular examination revealed an absent right testicle, the left testicle was not tender. The patient was haemodynamically stable. A clinical diagnosis of acute appendicitis and possible testicular torsion was made and the patient sent for an urgent diagnostic laparoscopy. At laparoscopy, the patient was found to have a torted, non-viable right-sided testicle in the abdominal cavity. On discussion with urology, a decision was made to excise the torted testicle as it was atrophic and had significant malignant potential. The appendix was normal. The patient made an unremarkable recovery and was discharged.

scholarly journals Diagnostic Role of Ultrasonography in Right Iliac Fossa Pathologies

2019 ◽  
Vol 7 (3) ◽  
pp. 382-386
Author(s):  
Mishal Javaid ◽  
Ayesha Tariq ◽  
Hiba Noreen Javaid
Keyword(s):  
Imaging Modality ◽  
Iliac Fossa ◽  
Sampling Technique ◽  
High Volume ◽  
Symptom Duration ◽  
Cross Sectional ◽  
Use Of Resources ◽  
Diagnostic Role ◽  
Right Iliac Fossa Pain

Ultrasound is often the imaging modality of choice in patients with acute right iliac fossa pain.  Right iliac fossa pain remains the commonest clinical dilemma encountered by general surgeons. The management of acute right iliac fossa pain is audited, examining the relationship between symptom duration, use of pre-operative radiological imaging and patient outcome. Objective: To determine the diagnostic role of ultrasonography in Right Iliac Fossa pathologies. Methods: A cross sectional descriptive study was carried out at the Department of Radiology in Sir Ganga Ram Hospital Lahore, Pakistan. Duration of study was from March 2018 to November 2018. 85 patients with Right Iliac Fossa pain selected through convenient sampling technique. Statistical software for social sciences (SPSS version 22.0) is used for the analysis of data. Conclusion: The results in the study reflect findings from high volume emergency surgical departments and patients of pain in right iliac fossa demonstrating that unfocussed abdominal and pelvic ultrasounds are not an appropriate use of resources in patients with Right iliac fossa pain. Int. J. Appl. Sci. Biotechnol. Vol 7(3): 382-386  

scholarly journals P118 The 134-year-old problem meets the 1-year-old problem: lessons learned in managing acute appendicitis during the COVID era

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Sherwin Fernando ◽  
Diwakar Ryali Sarma ◽  
Sherwin Fernando
Keyword(s):  
Pain Treatment ◽  
Iliac Fossa ◽  
Lessons Learned ◽  
Open Approach ◽  
Patient Demographics ◽  
Right Iliac Fossa Pain ◽  
American Society ◽  
The Uk ◽  
The Right

Abstract Introduction The Right Iliac Fossa Pain Treatment (RIFT) study highlighted the rate of negative appendicectomies in the UK as one third of all procedures. However, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/COVID) pandemic has changed surgical practice. New practices in the COVID era have changed the rate of negative appendicectomies. Methods A retrospective analysis was conducted of patients admitted with appendicitis from March 2020 to June 2020. Patient Demographics 58 patients were identified, 43 (74%) were adults and 15 (26%) were children. The median age of the adults was 33 (range 18-80) and the median American Society of Anaesthetists (ASA) grading was 1. The median age of children was 11 (range 4-17) and all were ASA grade 1. Results 73.8% (31) of adult patients had a Computerised Tomography (CT) scan as part of their workup. 40% of paediatric patients underwent an ultrasound scan of the abdomen whilst the remaining 60% were diagnosed clinically. The open approach was favoured in both cohorts (39.5% and 46.7% respectively). No negative appendicectomies were performed. Conclusion COVID19 has changed practice resulting in better outcomes for colorectal units. Further studies (COVID SURG and COVID HAREM) are needed to fully assess the role of imaging in reducing the number of negative appendicectomies.

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