IJSS Journal of Surgery

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https://imsear.searo.who.int/handle/123456789/157948

Editor: Dr Mahesh M Pukar
ISSN: 2395-1893

Frequency: Once in two months

Language: English

Open Access Peer-reviewed journal

Web site: https://surgeryijss.com/

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Browsing IJSS Journal of Surgery by Subject "Age"

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    Clinical Study of Etiology, Age, Sex Distribution, and Management of Right Iliac Fossa Mass.
    (2016-11) Purnaiah, M; Rajinikanth, M
    Introduction: Right iliac fossa mass is one of the common causes for admission under the Surgery Department at GMC/GGH Nizamabad. The various pathologies, multiple and varied modes of presentation of each disease entity, the difficulties encountered in investigative modality, diagnosis, and treatment make masses presenting in right iliac fossa, a difficult entity to treat. Hence, this study is undertaken to unravel the mystery of right iliac fossa mass and to establish the management protocol for each differential diagnosis that presents as right iliac fossa mass to our hospital. Materials and Methods: This is a prospective study of 40 treated at the GGH Hospital for right iliac fossa mass between the period of 1st April 2015 and 31st March 2016. The data regarding patient particulars, diagnosis, investigations, and surgical procedures are collected. Results: In our series of 40 patients, 75% cases among right iliac fossa mass were related to appendicular pathology. Most common cause of right iliac fossa mass is appendicular mass. Mean age group of right iliac fossa mass was 40.6 years. Pain abdomen was a common symptom; 60% patients were treated conservatively and 40% patients with surgery. The most common cause of right iliac fossa mass is appendicular mass. Male: female ratio is 55:45. Mean age of presentation of right iliac fossa mass is 40.6 years. The most common presenting symptom of appendicular mass is pain abdomen. Subacute intestinal obstruction is the most common presentation of ileocecal tuberculosis. Ultrasound sonography abdomen is the first investigation of choice in patients with right iliac fossa mass. Conclusion: The choice of management for appendicular mass is conservative followed by interval appendicectomy. The management of choice in patients with ileocecal tuberculosis with features of intestinal obstruction is surgery under coverage of ATT. Surgery is the management of choice in carcinoma cecum. Mainstay of treatment in retroperitoneal sarcoma is surgery followed by radiotherapy.