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
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
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