Background: The mass in the right iliac fossa is a differential diagnosis and may differ from individual cause; hence, the treatment should be consistent with the cause. Hence, this study was conducted to know the differential diagnosis of right iliac fossa mass and their management
Methods: This cross-sectional study involves patients with right iliac fossa mass admitted to Velammal Medical College Hospital and Research Institute (VMCHRA) from March 2019 to December 2020. All 50 subjects were recruited through convenient sampling. Demographic data were collected and the diagnosis was made through clinical, radiological and histopathologic examinations. Descriptive analysis was carried out by mean and standard deviation for quantitative variables, frequency and proportion for categorical variables. The Chi-square test was used for the comparison of percentages. coGuide version V.1.0 was used for statistical analysis
Results: 50 cases of mass in the right iliac fossa were studied, of which 40% cases were appendicular mass, 20% cases carcinoma of caecum, 18% cases each were ileocaecal tuberculosis and appendicular abscess, and 4% cases were psoas abscess. Right iliac fossa mass showed the highest incidence in the 6th decade of life (44%), followed by the 5th decade of life (28%) and was more common in females (68%). 58% of cases underwent surgical treatment and 42% were managed medically.
Conclusion: This study showed that appendicular mass was the commonest pathology in the right iliac fossa, followed by carcinoma of the caecum. The most frequently affected age group was 51 to 60 years. Cases of ileocaecal tuberculosis received medical care while surgery was the mainstay of treatment for Ca caecum, appendicular abscess and psoas abscess
Key words: Appendix, Appendicitis, Tuberculosis, Psoas abscess
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