Author(s): Sudhakar Waddi1, Suganakar Kodi2, Chandana Vemuri3, Deepika P4
BACKGROUND Right iliac fossa mass, one of the common presentations in the general surgical practice which can be due to various causes like appendicular mass/abscess, ileocaecal tuberculosis, carcinoma caecum.
METHODS A total number of 50 patients attending the surgical OP, King George Hospital, Andhra Medical College are included in this study January 2014 to July 2015. Direct interview with patient is done and a detailed history is obtained, and thorough clinical examination done. USG abdomen was the first investigation of choice.
In our study, 56% of cases of right iliac fossa masses were related to the appendix either in the form of appendicular mass (44%) or appendicular abscess (12%).
Appendicular pathology either in the form of appendicular mass or appendicular abscess was the commonest cause of mass in right iliac fossa. Initially conservative management with Oschner-Sherren’s regime was done followed by interval appendicectomy, had good results.