Clinical Study of Right Iliac Fossa Mass Pathology At: Central Vidarbha Region

Anupam Kakade (1) , Mangesh Padamwar (2) , Ajonish Kamble (3) , Yashwant Lamture (4) , Meenakshi Yeola (5)
(1) Departmet of General Surgery, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre (Datta Meghe Institute of Medical Sciences), Higana, Nagpur, Maharashtra - 441110, India, India ,
(2) Departmet of General Surgery, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre (Datta Meghe Institute of Medical Sciences), Higana, Nagpur, Maharashtra - 441110, India, India ,
(3) Departmet of General Surgery, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre (Datta Meghe Institute of Medical Sciences), Higana, Nagpur, Maharashtra - 441110, India, India ,
(4) Departmet of General Surgery, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre (Datta Meghe Institute of Medical Sciences), Higana, Nagpur, Maharashtra - 441110, India, India ,
(5) Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe Wardha, Maharashtra - 442004, India, India

Abstract

One of the most common problems experienced in surgical practice, which challenges the surgeon and needs the ability to diagnose through knowing the anatomy and pathological process that can occur inside the abdomen, is a mass in the right iliac fossa. The purpose of this research was to examine clinical appearance, differential diagnosis and treatment methods for patients with the right iliac fossa. Study was carried out in the Dept. of General Surgery at Jawaharlal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Sawangi (M), Wardha, Maharashtra, between August 2018 to December 2019. 43 patients with signs and symptoms of right iliac fossa mass were studied by taking detailed clinical history, physical examination, and were subjected to various investigations. In the present study appendicular mass constituted 60.46%, appendicular abscess 09.30%, ileocaecal tuberculosis 06.97 %, carcinoma caecum 13.95 %, intussusseption 02.32%. Patients presented with constitutional symptoms like pain, fever, vomiting, weight loss. Appendicular lump remains the most common entity in right iliac fossa mass patients. Ileocaecal tuberculosis is one of the most common differential diagnosis to be considered for pain abdomen evaluation in rural population. Conservative treatment followed by interval appendicectomy remains the main management modality in appendicular lump. The rare cause of mass in right iliac fossa as intussusception should be kept in mind.

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Authors

Anupam Kakade
Mangesh Padamwar
ambad.sawan@gmail.com (Primary Contact)
Ajonish Kamble
Yashwant Lamture
Meenakshi Yeola
Anupam Kakade, Mangesh Padamwar, Ajonish Kamble, Yashwant Lamture, & Meenakshi Yeola. (2020). Clinical Study of Right Iliac Fossa Mass Pathology At: Central Vidarbha Region. International Journal of Research in Pharmaceutical Sciences, 11(3), 3329–3337. Retrieved from https://ijrps.com/home/article/view/679

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