Causes of Right Iliac Fossa Mass and Outcome of Appendicular Lump

Ayesha Mehboob, Mazhar Iqbal, Kulsoom Moula Bux, Muhammad Naeem, Abdul Waheed, Shah Hassan

Abstract

Objective 

To find out the causes of lump in right iliac fossa and complications of appendicular lump.

Study design 

Cross-sectional descriptive study.

Place & Duration of study

Department of Surgery, Jinnah postgraduate Medical Center (JPMC) Karachi, from September 2019 to September 2021.

Methodology

All patients, of either gender, above twelve years of age were included. The causes of lump were investigated by history, clinical examination and investigations. Patients with appendicular lump were treated conservatively. Complications related to appendicular lump were recorded on a predesigned form. Results were analyzed by SPSS version 25.

Results 

A total of 90 patients with lump in right iliac fossa presented in two year period. Among them 68 (75.55%) were male and 22 (24.45%) female patients. The causes of right iliac fossa masses included appendicular lump (n=72 - 80.00%), carcinoma cecum (n=7 - 7.77%), psoas abscess (n=6 - 6.66%), ileocecal tuberculosis (n=3 - 3.33%), lymphoma (n=1 - 1.11%), and adenocarcinoma colon (n=1 - 1.11%). The appendicular lumps were resolved in 49 (68.05%) patients, ruptured in 15 (20.88%), progressed to abscess formation in 6 (8.33%) and intestinal obstruction occurred in 2 (2.77%). Mean age in cecal mass was 46 years, lymphoma 40 years, adenocarcinoma colon 38 years, ileocecal tuberculosis 34 years, appendicular lump 31 years, and psoas abscess 27 years.

Conclusion

Most common cause of right iliac fossa mass was appendicular lump. Malignant conditions were found in eight patients. Most of the appendicular lumps resolved on conservative management. However , surgical interventions were needed when complications occurred.

Key words

Right iliac fossa mass, Appendicular lump, COVID 19 pandemic, Adenocarcinoma colon, Abdominal tuberculosis, Psoas abscess.