Volume : VI, Issue : IV, April - 2017

A CLINICOPATHOLOGICAL STUDY AND MANAGEMENT OF RIGHT ILLIAC FOSSA MASS ORIGINAL ARTICLE

Dr. Saripalli Ammaji, Dr. Akkidas. Suvarchala

Abstract :

 INTRODUCTION: Mass in the right iliac fossa is not an uncommon entity.A thorough understanding of the anatomy and pathological process that may occur within the abdomen are essential for an accurate diagnosis and mode of treatmen  AIMS AND OBJECTIVES: To study age,sex ,various diseases which can present as mass in the right iliac fossa. To study various modes of management.To analyse the efficiency of current treatment and its prognosis in our setup.To follow up the studied cases their further management and to detect complications. MATERIALS AND METHODS: This is a prospective study of 50 cases of mass in the right iliac fossa admitted to King George Hospital attached to Andhra Medical College, Visakhapatnam and referals from peripheral hospitals RIMS srikakulam during the period from October 2013 to October 2015 over a span of 24 months. This study includes selection of patients with mass in the right iliac fossa on a randomized and prospective basis. The patients are selected after they are diagnosed as having intra abdominal mass in the right iliac fossa of various pathologies after careful history taking, thorough general and local examination and appropriate investigations. OBSERVATIONS AND RESULTS:In t his study of 50 cases more than 50% of cases were related to appendicular pathology either in the form of appendicular mass or appendicular abscess. There were about 9 cases of ileocaecal tuberculosis. In this study, youngest patient was of age 12 years, who presented with appendicular mass and the oldest was 68 years of age admitted with carcinoma of caecum. 96% of cases of appendicular mass presented within 30 days. Pain was colicky in nature and associated with vomiting. In this study of 50 cases, 7 cases were managed conservatively and 43 cases were managed surgically. Out of 21 cases of appendicular mass managed surgically 5 cases were taken up for surgery immediately whereas rest of the 16 cases were managed by Oschner scherren regime and appendicectomy was done at a later date. All 6 cases of appendicular abscess and 2 cases of psoas abscess were managed by extraperitoneal drainage. These 6 cases of appendicular abscess were subjected to interval appendicectomy 6–8 weeks later. 8 out of 9 cases of ileocaecal tuberculosis were managed surgically 1 case was not operated because of associated active pulmonary tuberculosis. 6 out of 8 cases of carcinoma caecum were operated upo.  CONCLUSION: The highest incidence of mass in the right iliac fossa was seen in 2rd and 3rd decade.Males were affected more and M:F ratio was 1.7:1.Most of our patients were of low socio–economic status. Appendicular pathology either in the form of appendicular mass or appendicular abscess was the most common condition presenting as mass in the right iliac–fossa closely followed by ileocaecal tuberculosis and carcinoma caecum.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR. SARIPALLI AMMAJI, DR.AKKIDAS. SUVARCHALA , A CLINICOPATHOLOGICAL STUDY AND MANAGEMENT OF RIGHT ILLIAC FOSSA MASS ORIGINAL ARTICLE, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-4 | APRIL‾2017


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