scholarly journals A study on right iliac fossa mass

2017 ◽  
Vol 4 (10) ◽  
pp. 3292
Author(s):  
Anita Samraj ◽  
Sanjay Prakash J. ◽  
Muthukumaran G.
Keyword(s):  
Psoas Abscess ◽  
Iliac Fossa ◽  
Right Hemicolectomy ◽  
Contrast Enema ◽  
The Other ◽  
Histopathological Diagnosis ◽  
Hodgkins Lymphoma ◽  
Non Hodgkins Lymphoma ◽  
The Right ◽  
Appendicular Mass

Background: Patients with mass in the right iliac fossa may confront the surgeon, pediatrician or gynecologist. Thus, thorough understandings of the anatomy and pathological process that may occur within the abdomen are essential for an accurate diagnosis and plan of treatment. The objective of this study was to interpret aetiopathology, clinical presentation, differential diagnosis and management of mass in the right iliac fossa.Methods: A total of 60 cases with mass in the right iliac fossa (RIF) were included in the study. Investigations like colonoscopy and CT scan were done. All the cases underwent right hemicolectomy followed by chemotheraphy. Other cases like psoas abscess, non-hodgkins lymphoma, Meckels diverticulum and intussusception were diagnosed and treated.Results: During this study period, a total number of 36 cases of appendicular mass and 10 cases of appendicular abscess were encountered. In this study 10 cases of appendicular abscess were encountered and treated by extraperitoneal drainage, 4 cases of ileocaecal kochs were encountered. Patients presented with constitutional symptoms like pain, fever, weight loss etc. Right hemicolectomy was done, specimens after operative procedures were examined microscopically and histopathological diagnosis. 3 cases of carcinoma caecum and 3 cases of carcinoma ascending colon were seen. Contrast enema was done which showed filling defect and mucosal irregularities.Conclusions: This study showed that appendicular mass is the commonest pathology in right iliac fossa amongst all and conservative treatment followed by interval appendicectomy is the best mode of treatment. Carcinoma of the colon and ileocaecal tuberculosis is the other two common causes for mass in the right iliac fossa. These cases also carry a good prognosis, if properly diagnosed and treated. The other rare causes of mass in the right iliac fossa are intussusception, psoas abscess and Non Hodgkins lymphoma.

scholarly journals COEXISTENCE OF TUBERCULOSIS AND ADENOCARCINOMA OF THE COLON

2003 ◽  
Vol 42 (145) ◽  
pp. 39-41
Author(s):  
Yogendra Singh ◽  
G Sayami ◽  
M Khakurel
Keyword(s):  
Histopathological Examination ◽  
Psoas Abscess ◽  
Iliac Fossa ◽  
Right Hemicolectomy ◽  
Ascending Colon ◽  
Colonic Tuberculosis ◽  
Adenocarcinoma Of The Colon ◽  
Well Differentiated ◽  
The Right

ABSTRACTA 60-years-old, male patient presented with a-tender swelling in the right iliac fossa with right hip flexiondeformity suggesting of psoas abscess. Following emergency drainage of faeculant pus, the general conditionof the patient improved. The barium enema showed leaking ascending colonic ulcer and colonoscopicexamination revealed nonspecific ulcerative lesion in the ascending colon. Repeat investigations were alsonon-conclusive except there was a stricture at the ascending colon on colonoscopy. A second operationshowed that there was a huge mass of terminal ileum, cecum and ascending colon and perforation of ascendingcolonic ulcer most likely carcinoma. Right hemicolectomy was performed with uneventful postoperativeperiod. Histopathological examination revealed well differentiated adenocarcinoma limited to the musclelayer of the ascending colon and features suggestive of colonic tuberculosis at the same site. Antituberculartreatment was completed with regular follow-up and monitoring on CEA level. Patient has been doing well3 years postoperatively. Although rare, the coexistence of colonic tuberculosis with carcinoma may occur. Adefinitive diagnosis can be established only by histological examination.Key Words: Colonic tuberculosis, Adenocarcinoma, Histology.

scholarly journals RIGHT ILIAC FOSSA MASS

2016 ◽  
Vol 23 (08) ◽  
pp. 953-958
Author(s):  
Ahmed Hussain ◽  
Syed Kashif Ali Shah ◽  
Naeem ul Karim Bhatti ◽  
Zaheer Ahmed ◽  
Dr. Hamid Nawaz Ali Memon ◽  
...  
Keyword(s):  
Psoas Abscess ◽  
Iliac Fossa ◽  
University Hospital ◽  
Male Population ◽  
Cross Sectional ◽  
Female Population ◽  
Clinical Pattern ◽  
One Year ◽  
The Right ◽  
Appendicular Mass

Objectives: To determine the frequency and clinical pattern of mass in rightiliac fossa. Study Design: Cross sectional multicenter study. Period: One year (from 03 March2014 to 02 March 2015). Setting: Patients with right iliac fossa mass of >11 years of and ofeither gender admitted in department of surgery at Liaquat university hospital Hyderabad /Jamshoro and Peoples University Hospital Nawabshah. Patients and methods: The data wasanalyzed in SPSS 16 and the frequency and percentage was calculated. Results: During oneyear study period, out of 227 patients, 112 subjects were observed to have right iliac fossa massdue to different etiologies, of which 82(73.2%) were males and 30 (26.8%) were females. Themean age ±SD for overall population was 39.32±8.66 while it was 37.88±6.75 and 38.93±7.72in male and female population respectively. The male population was predominant while thepatterns observed were appendicular mass in 19(17%), appendicular abscess in 26(23.21%),ileocaecal tuberculosis in 38(34%), carcinoma caecum in 14(12.5%), psoas abscess in 5(4.46%)and others in 10(9%) respectively. Conclusion: The highest incidence of mass in the right iliacfossa was seen in second, third and four decades with male population predominance. Thecommon disorders identified were ileocaecal tuberculosis, appendicular mass and abscessand carcinoma caecum respectively

scholarly journals CLINICAL STUDY OF PAIN IN RIGHT ILIAC FOSSA

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Saurabh Kothari ◽  
Manjula Kothari ◽  
Shree Mohan Joshi ◽  
Kalp Shandilya
Keyword(s):  
Iliac Fossa ◽  
Signs And Symptoms ◽  
Clinical History ◽  
X Ray ◽  
Pain Abdomen ◽  
Detailed Clinical History ◽  
Right Iliac Fossa Pain ◽  
Chest X Ray ◽  
The Right ◽  
Appendicular Mass

Background: A mass in the right iliac fossa is a common diagnostic problem encountered in clinical practice, requiring skill in diagnosis. Methods: 100 patients with signs and symptoms of right iliac fossa mass admitted in Hospital were identified and were studied by taking detailed clinical history, physical examination and were subjected to various investigations like x ray erect abdomen, chest x-ray, contrast x-ray . Result: In this study of out of 100 cases, 65.00% of cases were related to appendicular pathology either in the form of appendicular mass or appendicular abscess. There were 12.00% cases of ileocaecal tuberculosis. Conclusion: Appendicular lump remains the most common cause for right iliac fossa pain. Ileocaecal tuberculosis is one of the most important differential diagnoses for pain abdomen. Keywords: Appendicular Mass, Ileocaecal Tuberculosis, Carcinoma Caecum, Right Iliac Fossa Mass.

scholarly journals Clinical study of right iliac fossa mass: experience at a rural hospital

2018 ◽  
Vol 5 (6) ◽  
pp. 2308
Author(s):  
Harshal B. Ramteke ◽  
Harmandeep Singh ◽  
Dhirendra D. Wagh ◽  
Rohini J. Bhoyar
Keyword(s):  
Clinical Examination ◽  
Psoas Abscess ◽  
Iliac Fossa ◽  
Rural Hospital ◽  
Pathological Diagnosis ◽  
Interval Appendectomy ◽  
Common Cause ◽  
Detailed History ◽  
Mass Formation ◽  
Appendicular Mass

Background: Objectives of present study was to study the clinical profile, different modalities of investigation and various modes of management for Right Iliac Fossa (RIF) mass at a rural hospital, A.V.B.R.H.Methods: Total 86 cases of RIF mass were studied prospectively for 4 years from August 2013 to September 2017. Patients above the age of 10 years presenting with a mass in RIF associated with acute/chronic abdominal conditions and incidentaly found mass in RIF on examination and investigation were included in the study. Patients with abdominal wall/bony swellings of the region and gynaecological causes of RIF mass were excluded. After detailed history and clinical examination, patients were subjected for different investigations to establish pathological diagnosis and treated accordingly.Results: 69.76% cases with RIF mass were related to appendicular pathology. Of these 60.48% were appendicular mass and 9.3% were appendicular abscess. 13.95% cases were Carcinoma Caecum, 6.97% cases were Ileo-caecal Tuberculosis, 6.97% were of ilio-psoas abscess and 2.32% cases were of Intusussception. Mean age of RIF mass was 37.41 years with a male preponderence of 1.4:1. Pain in abdomen was the commonest symptom. 16.28%(14) cases were treated conservatively and 83.72%(72) were treated surgically.Conclusions: Most common cause of RIF mass is appendicular lump (60.46%) among various other pathologies. Pain in abdomen is the commonest presenting symptom. Interval appendectomy should be considered essential as the incidence of recurrence of appendicitis and mass formation is high after conservative treatment. Detailed history and thorough clinical examination is of utmost importance to reach the correct clinico-pathological diagnosis of RIF mass. 

scholarly journals A Pink Herring in the Colon: A Case Report of Eosinophilic Colitis Masking Invasive Adenocarcinoma of the Colon

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
David Malcolm Milne ◽  
Jason Rattan ◽  
Alyssa Muddeen ◽  
Amrit A. Rambhajan
Keyword(s):  
Colon Cancer ◽  
Weight Loss ◽  
Iliac Fossa ◽  
Fluid Collection ◽  
Right Hemicolectomy ◽  
Subsequent Treatment ◽  
Invasive Adenocarcinoma ◽  
Lower Quadrant ◽  
Eosinophilic Colitis ◽  
The Right

Eosinophilic colitis is an inflammatory condition in which the wall of the colon becomes infiltrated by eosinophils which stain densely pink on microscopy. It is an uncommon clinical entity which has a long list of differential diagnoses. We present a case of a patient whose biopsy at colonoscopy revealed eosinophilic colitis which led to a delay in the diagnosis and subsequent treatment of colon cancer. A 35-year-old male presented with a six-week history of right lower quadrant abdominal pain associated with diarrhoea and weight loss. Colonoscopy showed an inflamed cecum; computed tomography revealed a small ascitic fluid collection in the right iliac fossa. Biopsy showed eosinophilic colitis, and he was treated conservatively with albendazole and mesalamine. The patient failed to improve over the following month with continued weight loss. A repeat CT scan showed a right iliac fossa mass. A right hemicolectomy was performed with histopathology from the specimen showing mucinous adenocarcinoma. Eosinophilic colitis can mask colon cancer and should be considered a diagnosis of exclusion.

Appendiceal Mucocele of Mucinous Cystadenocarcinoma with a Cutaneous Fistula

2002 ◽  
Vol 30 (4) ◽  
pp. 452-456 ◽  
Author(s):  
A Nakao ◽  
S Sato ◽  
A Nakashima ◽  
A Nabeyama ◽  
N Tanaka
Keyword(s):  
Iliac Fossa ◽  
Right Hemicolectomy ◽  
Cystic Mass ◽  
Japanese Woman ◽  
Mucinous Cystadenocarcinoma ◽  
Appendiceal Mucocele ◽  
Old Japanese ◽  
Well Differentiated ◽  
The Right ◽  
Skin Fistula

We report a novel case of cystadenocarcinoma forming an appendiceal mucocele with development of a skin fistula. The patient was a 75-year-old Japanese woman who originally presented with a skin ulcer on the right flank (inferior to the ribs and superior to the iliac bone) with mucus discharge. The serum concentration of carcinoembryonal antigen was elevated (57.4 ng/ml). Ultrasonography and computed tomography demonstrated a cystic mass with septations in the right iliac fossa. Fistulography from the skin ulceration showed a communication via the fistula to the caecum. A right hemicolectomy and enbloc resection of the skin fistula was performed. The histological findings revealed a well-differentiated mucinous cystadenocarcinoma of the appendix. The patient has been alive for 7 years following surgery without any sign of recurrence. This report is of interest as it demonstrates that tumour rupture to the extraperitoneal space could result in a good outcome by preventing the development of pseudomyxoma peritonei.

scholarly journals Acute eosinophilic appendicitis simulating uncomplicated appendicitis

2018 ◽  
Vol 11 (1) ◽  
pp. e227178
Author(s):  
Kazuya Takabatake ◽  
Tsutomu Imanishi ◽  
Tetsuji Yoshikawa
Keyword(s):  
Acute Appendicitis ◽  
Antibiotic Therapy ◽  
Iliac Fossa ◽  
Japanese Woman ◽  
Chief Complaint ◽  
Histopathological Diagnosis ◽  
Uncomplicated Appendicitis ◽  
Old Japanese ◽  
Abdominal Emergencies ◽  
The Right

Acute appendicitis is one of the most common abdominal emergencies worldwide. Uncomplicated appendicitis (UA), which does not involve perforation or peritonitis, has recently been treated with antibiotic therapy. Here, we report a case of acute eosinophilic appendicitis (AEA) that simulated UA and did not respond to antibiotic therapy. A 20-year-old Japanese woman emergently presented with the chief complaint of pain at the right iliac fossa. CT showed only swelling of the appendix. She was diagnosed with UA, and she received antibiotic therapy initially. However, the treatment was not effective and appendectomy was performed. The final histopathological diagnosis was AEA. The findings of this case suggest that AEA is likely to be diagnosed as UA. As AEA can simulate UA, the possibility of AEA should be considered when antibiotic therapy is not effective.

scholarly journals Low-Grade Appendiceal Mucinous Neoplasm (LAMN) Primarily Diagnosed as an Ovarian Mucinous Tumor

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Konstantinos Perivoliotis ◽  
Gregory Christodoulidis ◽  
Athina A. Samara ◽  
Ioanna-Konstantina Sgantzou ◽  
Theodoros Floros ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Transvaginal Ultrasound ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Tertiary Hospital ◽  
Right Hemicolectomy ◽  
Cystic Tumor ◽  
Low Grade ◽  
Mucinous Neoplasms ◽  
The Right

Background. Low-grade appendiceal mucinous neoplasms (LAMN) are detected in 0.7 to 1.7% of all appendicectomies. The diagnosis can be challenging, particularly in female patients where the differential diagnosis of primary appendiceal and ovarian mucinous neoplasms is unclear. Case Presentation. A 71-year-old female was referred to our tertiary hospital with the working diagnosis of a right ovarian cystic tumor. The lesion was identified through a transvaginal ultrasound performed for vague lower abdominal pain symptoms. CT scan confirmed these findings. Intraoperatively, an appendiceal mucocele was identified and a right hemicolectomy was performed. The histopathology examination revealed a LAMN. Six months later, the patient remains disease-free. A close biannual oncological follow-up has been suggested. Conclusion. This case underlines the difficulty in determining the origin of mucinous neoplasms of the right pelvic area. Mucocele of the appendix should be considered in the differential diagnosis of a mass in the right iliac fossa.

An Imaging Diagnostic Protocol in Children with Clinically Suspected Acute Appendicitis

2016 ◽  
Vol 82 (5) ◽  
pp. 390-396 ◽  
Author(s):  
Matias Epifanio ◽  
Marco Antonio De Medeiros Lima ◽  
Patricia Corrêa ◽  
Matteo Baldisserotto
Keyword(s):  
Acute Appendicitis ◽  
Predictive Value ◽  
Iliac Fossa ◽  
Correct Diagnosis ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
The Other ◽  
Free Fluid ◽  
Diagnostic Strategy ◽  
The Right

The objective of the present study is to evaluate a new diagnostic strategy using clinical findings followed by ultrasound (US) and, in selected cases, MRI. This study included 166 children presenting signs and symptoms suggesting acute appendicitis. Cases classified as suggesting appendicitis according to clinical exams had to be referred to surgery, whereas the other cases were discharged. Unclear cases were evaluated using US. If the US results were considered inconclusive, patients underwent MRI. Of the 166 patients, 78 (47%) had acute appendicitis and 88 (53%) had other diseases. The strategy under study had a sensitivity of 96 per cent, specificity of 100 per cent, positive predictive value of 100 per cent, negative predictive value of 97 per cent, and accuracy of 98 per cent. Eight patients remained undiagnosed and underwent MRI. After MRI two girls presented normal appendixes and were discharged. One girl had an enlarged appendix on MRI and appendicitis could have been confirmed by surgery. In the other five patients, no other sign of the disease was detected by MRI such as an inflammatory mass, free fluid or an abscess in the right iliac fossa. All of them were discharged after clinical observation. In the vast majority of cases the correct diagnosis was reached by clinical and US examinations. When clinical assessment and US findings were inconclusive, MRI was useful to detect normal and abnormal appendixes and valuable to rule out other abdominal pathologies that mimic appendicitis.

scholarly journals Deceitful red-flag: angina secondary to iron deficiency anaemia as a presenting complaint for underlying malignancy

2019 ◽  
Vol 12 (7) ◽  
pp. e229942 ◽  
Author(s):  
Chanaka Aravinda Perera ◽  
Richard Peter Biggers ◽  
Alan Robertson
Keyword(s):  
Iliac Fossa ◽  
Tolerance Test ◽  
Right Hemicolectomy ◽  
Full Blood Count ◽  
Underlying Malignancy ◽  
History Of ◽  
Red Flag ◽  
Rapid Access Clinic ◽  
The Right ◽  
Rule Out

A 73-year-old man with an 8-week history of angina underwent an exercise tolerance test at the rapid access clinic, which indicated inducible ischaemia and he was subsequently referred for angiogram. His angiogram demonstrated no coronary pathology. It was later discovered that bloods taken on the day of the procedure showed a haemoglobin of 54 g/L (130–180 g/L). His haemoglobin used to book the angiogram 3 months before was 143 g/L. Following angiogram, a mass was identified in the right iliac fossa and CT scan confirmed a caecal tumour. The patient ultimately underwent a curative right hemicolectomy as an outpatient. The case is a reminder of the importance of basic preangiogram investigations, in particularly a full blood count, to rule-out angina secondary to anaemia through a low haemoglobin. Most importantly, it also questions when the appropriate time is for these investigations to be carried out, prior to coronary angiography.

Sign in / Sign up

Export Citation Format

Share Document