Acta Scientific Clinical Case Reports

Research Article Volume 2 Issue 8

A Comparative Study of Computed Tomography Vs Ultrasonography in Evaluation of Right Iliac Fossa Mass

Madhushankar L and Tejasvi Kumar C*

Department of General Surgery, Kempegowda Institute of Medical Sciences, Bangalore, India

*Corresponding Author: Tejasvi Kumar C, Department of General Surgery, Kempegowda Institute of Medical Sciences, Bangalore, India.

Received: May 26, 2021; Published: July 21, 2021

Citation: Madhushankar L and Tejasvi Kumar C. “A Comparative Study of Computed Tomography Vs Ultrasonography in Evaluation of Right Iliac Fossa Mass". Acta Scientific Clinical Case Reports 2.8 (2021): 61-68.

Abstract

Introduction: Right Iliac Fossa (RIF) Mass is a clinical diagnosis with multiple differential diagnoses. Thus, the importance of accurate diagnosis in this clinical condition is of apex importance as there is no blanket treatment for all the conditions producing RIF mass.

Materials and Methods: This prospective study of patients with RIF mass is carried out between January 2017 to September 2020 with a total of 301 cases. This study was carried out at Kempegowda Institute of Medical Sciences and Research Centre, Bangalore, India.

The inclusion criteria:

  • Patient more than 15 years.
  • Any patient admitted with RIF mass or any patient found to have RIF mass after admission and investigation provided a minimum of 3 out of 5 clinicians with not less than 5 yrs of clinical experience have felt presence of RIF mass in the patient after through clinical examination.

The exclusion criteria being:

  • Patients refusing to give consent,
  • Patients who underwent Ultrasonography/CT scan elsewhere before presentation to our hospital,
  • All patients with gynecological conditions presenting as RIF mass,
  • Mass encroaching onto RIF from other region and parietal wall swellings in RIF,
  • Patients not fit to undergo Contrast Enhanced CT due to allergy/ renal failure.

Conclusion: USG is an economical, non-invasive, patient friendly procedure done in OPD set up without any preparation, without any exposure to radiation with good results is an ideal first line investigation in pre-operative evaluation of RIF mass. However, in case of patients with RIF mass CT scan must be the diagnostic modality of choice as it is far superior to USG in diagnosing various individual conditions with high sensitivity and specificity. Thus, the authors advocate the use of USG in suspected emergency conditions presenting with RIF mass as the diagnostic modality of choice and CECT in preoperative evaluation of RIF mass in patients who does not require emergency intervention.

Keywords: Computed Tomography; Ultrasonography; Right Iliac Fossa Mass

Bibliography

  1. Sabiston DC. “Textbook of surgery”. Philadelphia: W.B. Saunders Company, 16th Edition (2001).
  2. Nitecki S., et al. “Contemporary management of appendiceal mass”. British Journal of Surgery 80 (1993): 18.
  3. Zinner MJ., et al. “Maingot’s abdominal operations”. Connecticut: Prentice Hall International, Inc; 10th Edition (1997).
  4. Millard FC., et al. “Ultrasonography in investigation of right iliac fossa masses”. The British Journal of Radiology 64 (1991): 17-19.
  5. Williams MP. “Non tuberculous psoas abscess”. Clinical Radiology 37 (1986): 253-256.
  6. Manorama Berry and Veena Choudary. Diagnostic Radiology 2nd
  7. Harrington L., et al. “Ultrasonographic and clinical predictors of intussusception”. The Journal of Pediatrics5 (1998): 836-839.
  8. Gore R and Levine M. “Textbook of gastrointestinal radiology. 3rd Philadelphia: Saunders/Elsevier. Volume 1; Chapter 60, Diseases of the appendix (2008): 1062.
  9. Gore R and Levine M. “Textbook of gastrointestinal radiology. 3rd Philadelphia: Saunders/Elsevier. Volume 2; Chapter 128, The Acute Abdomen (2008): 2387.
  10. Gore R and Levine M. “Textbook of gastrointestinal radiology. 3rd edition. Philadelphia: Saunders/Elsevier. Volume 1; Chapter 46, Inflammatory Disorders of the Small Bowel Other than Crohn’s Disease (2008): 812.
  11. Grant AJ. “Carcinoma Caecum”. Canadian Medical Association Journal2 (2010): 182-183.
  12. Beland MD., et al. “Complex abdominal and pelvic abscesses: efficacy of adjunctive tissue-type plasminogen activator for drainage”. Radiology2 (2008): 567-573.
  13. Gray H. “The lymphatics of the abdomen and pelvis”. In: Gray’s Anatomy. 20th
  14. Fukuya T., et al. “Lymph-node metastases: efficacy for detection with helical CT in patients with gastric cancer”. Radiology3 (1995): 705-711.
  15. Kim YH., et al. “Adult intestinal intussusception: CT appearances and identification of a causative lead point”. Radiographics3 (2006): 733-744.
  16. Garba E S and Ahmed A. “Management of appendiceal mass”. Annals of African Medicine 7 (2008): 200-204.

Copyright: © 2021 Madhushankar L and Tejasvi Kumar C. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 25, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US