Spectrum of right iliac fossa mass differential diagnosis and their management

G. V. V. Prasad Reddy, Konappa V., V. Mahidhar Reddy, Dharmendra Kumar


Background: Right iliac fossa mass is a common clinical entity encountered in routine surgical practice. The mass arises from different anatomical structures with varied aetiologies that require a high clinical suspicion in its management. The reason being that the mass may range from being benign to most aggressively malignant lesion which encompasses various specialities of surgery like genitourinary, vascular, gynaecological and colorectal surgery.

Methods: This was a prospective observational study conducted between august 2015 and October 2017 in Narayan Medical College and Hospital, Nellore. 50 cases were studied after detailed history and physical examination, relevant investigations were done, and different surgical procedures done were noted and histopathological examination of resected specimens was done.

Results: In this series out of 50 patients studied, 23 patients (46%) were diagnosed to have appendicular mass, 10 cases (20%) ileocaecal TB, 8 cases (16%), appendicular abscess, 6 cases (12%) CA Caecum, 3 cases (6%) psoas abscess. Most commonly encountered in 3rd decade of life with male predominance.

Conclusions: RIF mass is a challenging clinical scenario for the surgeons. Keeping in mind the various differential diagnosis with good clinical acumen supported by appropriate investigations, patients with RIF mass can be managed appropriately either by conservative or surgical management.



Right iliac fossa mass, Clinical presentation, Management

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Dnynamote AS, Sinha N, Chavan S Sable S. Clinico-pathological study of right Iliac Fossa Mass. Available at: Accessed on 24 November 2014.

Bailey H. Bailey hamilton’s demonstrations of physical signs in surgery. In: Clain A, ed. 18th edn. London: ELBS with Butterworth Heinmann; 1997.

Panarese A, Pironi D, Pontone S, Vendettuoli M, De Cristofaro F, Antonelli M, et al. A case of symptomatic mass in RIF: a Bermuda triangle which often lies the right diagnosis. Ann Ital Chir. 2014;24:85-8.

Sunderesh N Jr, Narendran S, Ramanathan M. evaluation of pathological nature of RIF mass and its management. J Biomed Sci Res. 2009;1(1):55-8.

Turnage RH, Mizell J, Badgwell B. Sabistion book of General Surgery. Chapter 43. South Asia Edition; 2017: 1079.

Howell S, Knapton PJ. Ileo-caecal tuberculosis. Gut 1964;5:524-9.

Dnyanmote AS, Sinha N, Chavan S, Sable S, Clinico pathological study of RIF mass. Webmed Central General Surg. 2014;5(11):26-30.

Prakash MR, Dutt SC. Clinical study of Mass in Right Iliac Fossa. Int J Sci Res. 2016;6(5):1-4.

Akhtar T, Sharif A, Akhtar M, Zia N, Hanif M. Mass in Right Iliac Fossa- Clinicopathological Evaluation. J Rawalpindi Med Coll. 2017;21(1):45-7.

Shashikala V, Victor AJ, Sonia Rani PB. Right Iliac Fossa Mass: A prospective study. Int J Biomed Adv Res. 2016;7(8):388-92.

Reddy NMV, Reddy RM. Study of Mass in Right Iliac Fossa. J Den Med. 2016;15(8):81-4.

Shetty SK, Shankar M. A clinical study of right iliac fossa mass. Int J Surg. 2013;30(4):1-11.

Hussain A, Shah SKA, Bhatti NK, Ahmed Z, Memon HNA, Shah SZA. Right iliac fossa mass, clinical spectrum. Prof Med J. 2016;23(8):953-8.