Background: The study was conducted to analyse the clinical presentation of right iliac fossa mass and its prevalence of various causes of RIF mass in patients who visit the department of general surgery. To evaluate age, sex, incidence, common etiological factors of RIF mass in patients. To evaluate the incidence of etiopathology and types of clinical presentation of RIF mass. To study the differential diagnosis, complications, morbidity, mortality and surgical management of the right iliac fossa that are seen in our hospital.

Methods: We conducted this study in the department of General Surgery, Rajah Muthiah Medical College from October 2018 to September 2020. 50 patients diagnosed with right iliac fossa mass were studied in terms of clinical presentation and evaluation with various other studies, the results obtained were correlated.

Results: Almost all patients presented with pain abdomen which is the most common presentation followed by right iliac fossa tenderness in 35 patients. Out of 50 patients fever was present in 30 patients. Vomiting present in 25 patients and weight loss in 15 patients. Appendicular mass was the common clinical presentation that is 20 out of 50 patients. Appendicular abcess present in 9 out of 50 in study group. Ileocaecal tuberculosis was present in 9 patients. Carcinoma caecum present in 10 patients followed by psoas abscess in 2 patients. Almost 60% of appendicular mass underwent medical management. All appendicular abcess underwent extra peritoneal drainage.

Keywords: Right iliac fossa mass, Appendicular mass, Appendicular abscess, carcinoma caecum, ileocaecal tuberculosis, psoas abscess.

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Dr Nithya .K

Post Graduate, Department of General Surgery, Rajah Muthiah Medical College, Chidambaram

Medical College, Chidambaram