Role of ultrasonography in evaluation of right iliac fossa mass compared to CT scan

Authors

  • Ayantika Roy Department of Radio-diagnosis, Bankura Sammilani Medical College, Bankura, West Bengal, India
  • Rikta Mallik Department of Radio-diagnosis, Bankura Sammilani Medical College, Bankura, West Bengal, India
  • Amit Mandal Department of Radio-diagnosis, Bankura Sammilani Medical College, Bankura, West Bengal, India
  • Debabrata Nandy Department of Radio-diagnosis, Bankura Sammilani Medical College, Bankura, West Bengal, India
  • Sumanta Kumar Mandal Department of Radio-diagnosis, Bankura Sammilani Medical College, Bankura, West Bengal, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241252

Keywords:

Right iliac fossa mass, Ultrasonography, CT scan

Abstract

Background: With the demonstration of origin and nature of RIF mass by high-resolution ultrasound and multidetector CT scan, the patients presenting with clinically palpable mass in RIF need not to undergo time consuming, uncomfortable and unpalatable barium study. The objective is to evaluate the diagnostic precision of CT and ultrasonography in the diagnosis of right iliac fossa masses and to assess the effectiveness of USG in diagnosing various right iliac fossa masses in comparison with CT scan in terms of sensitivity, specificity, and predictive accuracy.

Methods: The study was conducted on 35 patients presenting with right iliac fossa mass who were stable enough to undergo USG followed by CT scan. The time gap between these studies had kept to minimum to make the studies comparable. USG and CT scan was performed by 2 expert radiologists, who had been blinded of each other findings.

Results: More than 50% cases were related to appendicular pathology. Ultrasound abdomen had a sensitivity and specificity of 88.9% and 94.11% in diagnosis of appendicular mass, 71.42% and 96.42% in diagnosis of appendicular abscess, 66.7% and 96.6% in diagnosis of ileo-caecal tuberculosis, 50% and 100% in diagnosis of carcinoma caecum respectively as compared to CT scan.

Conclusions: USG is the most easily available bed side investigation and excellent screening test for RIF mass. However, CECT whole abdomen remains the gold standard investigation for etiological diagnosis of RIF mass.

References

Tasleem A, Atif S, Mumtaz A, Naeem Z, Muhammad H. Mass in Right Iliac Fossa Clinicopathogical Evaluation. JRMC. 2017;21(1): 45-7.

Madhushankar L, Kumar SR, Sanjay SC, Laxmikanta L, Hemanth V. Role of ultrasonography in preoperative evaluation of right iliac fossa mass. J Evol Med Dent Sci. 2013;2:9030-6.

Verma DPK, Kantva DSM. A study on right iliac fossa mass. Int J Biomed Stud. 2019;3(9):130-2.

Shetty SK, Shankar M. A clinical study of right iliac fossa mass. Internet J Surg. 2013;30(4):40-3.

Das S. Examination of acute abdomen, a manual on clinical surgery. 8th ed. USA: Elsevier; 2013:435-56.

Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004;120(4):305-15.

Millard FC, Collins MC, Peck RJ. Ultrasound in the investigation of the right iliac fossa mass. Br J Radiol. 1991;64(757):17-9.

Malhotra A, Tarafdar S, Tayade A. Benign versus malignant adnexal masses: Does addition of Color and Spectral Doppler over and above the Gray Scale Ultrasound improves efficacy? Sch J App Med Sci. 2016;4(1):62-74.

Tarafdar DS, Malhotra A, Tayade A. Diagnostic efficacy of Color Doppler combined with Gray scale ultrasonography over Modified Alvarado score for diagnosing appendicitis. Sch J App Med Sci. 2015; 3(8):3026-35.

Tarafdar S, Malhotra A, Tayade A. Acute Abdomen: Role of Ultrasonography in Differentiation of Common Clinical Mimics of Appendicitis. GJRA. 2016;5(4):20-3.

McLaughlin SJ, Gray JG, Braithwaith M. Diagnosis of right iliac fossa mass by computed tomography. Br J Radiol. 1986;59:623-4.

Juniorsundresh N, Narendran S, Ramanathan M. Evaluation of Pathological nature of the right iliac fossa mass and its management. J Biomed Sci Res. 2009;1(1):55-8.

Raju B, Goutham R. A clinical study of right iliac fossa mass. Br J Radiol. 2016;6(4):2249-55.

Behera BK, Behera CS, Dehury MK, Nayak KN. Retrospective Analysis of Right Iliac Fossa Mass: A Single-Center Study. Cureus. 2022;14(7):e27465.

Martínez-Ares D, Martín-Granizo Barrenechea I, Souto-Ruzo J, Yáñez López J, Pallarés Peral A, Vázquez-Iglesias JL. The value of abdominal ultrasound in the diagnosis of colon cancer. Rev Esp Enferm Dig. 2005;97(12):877-86.

Dnyanmote AS. Clinico-pathological study of right iliac fossa mass. Web Med J. 2014.

Bradley EL, Isaacs J. Appendiceal Abscess Revisited. Arch Surg. 1978;113(2):130-2.

Prakash A, Sharma LK, Koshal A, Poddar PK. Ileocaecal tuberculosis. Aust Nz J Surg. 1975; 45(4):371-5.

Shashikala V, Victor AJ. Right iliac fossa mass: A prospective study. Int J Biomed Adv Res. 2016; 7(8):388-92.

McDermott FT. Comparative results of surgical management of single carcinoma of the colon and rectum.: a series of 1939 patients managed by a single surgeon. Br J Surg. 1981;68:850-5.

Richardson NGB, Heriot AG, Kumar D, Joseph AEA. Abdominal ultrasonography in the diagnosis of colonic cancer. Br J Sug. 1998;85(4):530-3.

Kanwar VS. Lymphadenopathy Clinical Presentation. Medscape Ref. 2014.

Munker R, Stengel A, Stäbler A, Hiller E, Brehm G. Diagnostic accuracy of ultrasound and computed tomography in the staging of Hodgkin's disease. Verification by laparotomy in 100 cases. Cancer. 1995;76(8):1460-6.

Downloads

Published

2024-04-30

How to Cite

Roy, A., Mallik, R., Mandal, A., Nandy, D., & Mandal, S. K. (2024). Role of ultrasonography in evaluation of right iliac fossa mass compared to CT scan. International Journal of Research in Medical Sciences, 12(5), 1627–1632. https://doi.org/10.18203/2320-6012.ijrms20241252

Issue

Section

Original Research Articles