Behera Bharat Kumar, Behera Chandra Sekhar, Dehury Manoj Kumar, Nayak Kedar Nath
Department of General Surgery, Government Medical College & Hospital, Sundargarh, IND.
Department of Anesthesiology, Saheed Laxman Nayak (SLN) Medical College & Hospital, Koraput, IND.
Cureus. 2022 Jul 29;14(7):e27465. doi: 10.7759/cureus.27465. eCollection 2022 Jul.
Background Right iliac fossa mass is one of the most common clinical scenarios a surgeon encounters during their surgical practice. It poses a critical diagnostic dilemma for surgeons and requires considerable diagnostic skills. Its clinical diagnosis becomes difficult in the presence of comorbidities, such as severe obesity and guarding, as in these cases, the mass becomes palpable only upon the administration of a relaxant. Methods A total of 108 patients admitted to Bhima Bhoi Medical College & Hospital, exhibiting signs and symptoms of mass in the right iliac fossa upon cross-examination, were included in the study. We recorded their detailed clinical history and performed physical examinations, including erect abdomen, chest (post-anterior view), and contrast x-rays, ultrasonogram; and CT scans. Results In this study, patients with appendicular masses, appendicular abscesses, ileocecal tuberculosis, cecum carcinoma, ovarian tumors, and parietal lipoma accounted for 45.3%, 17.5%, 12.9%, 7.4%, 6.4%, and 4.6% of the total cases, respectively, whereas patients with retroperitoneal tumors, parietal abscesses, and ileocecal lymphadenopathy accounted for 1.8% each.
背景 右下腹包块是外科医生在手术实践中最常遇到的临床情况之一。它给外科医生带来了关键的诊断难题，需要相当的诊断技巧。在存在合并症（如严重肥胖和肌卫）的情况下，其临床诊断变得困难，因为在这些病例中，只有在使用松弛剂后肿块才变得可触及。方法 本研究纳入了比马·博伊医学院和医院收治的108例患者，这些患者在交叉询问时表现出右下腹包块的体征和症状。我们记录了他们详细的临床病史，并进行了体格检查，包括立位腹部、胸部（后前位）、造影X线检查、超声检查和CT扫描。结果 在本研究中，阑尾包块、阑尾脓肿、回盲部结核、盲肠癌、卵巢肿瘤和壁层脂肪瘤患者分别占总病例数的45.3%、17.5%、12.9%、7.4%、6.4%和4.6%，而腹膜后肿瘤、壁层脓肿和回盲部淋巴结病患者各占1.8%。
