Tubiana JM, Sebag A, Arrive L, Duron JJ (2003) Gastrointestinal tract in the elderly. sidered in the differential diagnosis of difficult cases. The considerable dilations/ptosis of the gallbladder are exceptional: only 158 cases were noted in the large series of 4575 pathological gallbladders of Baumgartner CJ (3.45%) [18]. Introduction: The diagnosis of pains and masses of the right iliac fossa (RIF) represents a real diagnostic challenge for clinicians, particularly in the elderly, mainly because of the important clinical polymorphism at this age, and anatomical changes caused by senescence. 293 0 obj <>/Filter/FlateDecode/ID[<31D515209D151B4DB15CEABB9F4CE8B9>]/Index[271 38]/Info 270 0 R/Length 108/Prev 109387/Root 272 0 R/Size 309/Type/XRef/W[1 3 1]>>stream DOI: 10.15761/SCRR.1000126, Department of Internal medicine,Military Hospital of Gabes Tunisia, E-mail : bhuvaneswari.bibleraaj@uhsm.nhs.uk. Khera G, Lord R, Grey K, Maitra D (2008) An unusual case of right iliac fossa mass--Pharmacobezoar mimicking inflammatory bowel disease. Chest X-ray and electrocardiogram were normal.
At the end of this assessment, the preoperative diagnosis was acute cholecystitis located in the RIF. Genell S, Jonsson K (1976) Dilatation of the gall-bladder simulating a tumour in the right iliac fossa. Leuthauser A, McVane B (2016) Abdominal Pain in the Geriatric Patient. It is less common than right iliac fossa (RIF) pain. RIGHT ILIAC FOSSA MASS 2. Sfax 3029. Introduction: The diagnosis of pains and masses of the right iliac fossa (RIF) represents a real diagnostic challenge for clinicians, particularly in the elderly, mainly because of the important clinical polymorphism at this age, and anatomical changes caused by senescence.. We are reporting an original observation of an unexpected diagnosis of a RIF mass in the elderly.
Bouomrani S (2018) Unexpected diagnosis of a right iliac fossa mass in the elderly.
h�bbd```b``z"[���d����| ��XV,�Y"����0{;�}�v�M���A$C(��� "ۀ$c�W ��G#�F����|0 ��V Acute cholecystitis (AC) is a fairly common surgical emergency in the elderly who is characterized by significant mortality [4].
University of Sfax. The echographic aspect of this mass recalled an acute lithiasic pyocholecyst. © 2018 Copyright OAT. The somatic examination found a mass of the right iliac fossa, of hard consistency, tense, fixed in the deep plane, without fever or deterioration of the general state, or local cutaneous signs.
Abdominal ultrasound: marked thickened and laminated wall of the mass, Figure 3. Abdominal pain is a common problem of consultation in hospitals, and right iliac fossa (RIF) pain is one of the most frequent conditions treated in the Emergency Room and by the General Surgery Service. © 2018 Salem Bouomrani. Our case is, to the best of our knowledge, the second case of AC presented as a mass of the RIF in the elderly.
Left iliac fossa disorders causing abdominal pain: Introduction. The other basic bioassays were without abnormalities: hemoglobin, platelets, liver enzymes, creatinine, blood glucose, serum calcium, ionogram, muscle enzymes, and serum protein electrophoresis. At the center of this mass we noted the existence of a large stratified calculation of 4 cm diameter (Figure 4). The abdominal ultrasound showed the existence at the level of the RIF of an oval formation of 14 cm long axis, with heterogeneous echostructure, fluid center, and a liquid-liquid level. Left iliac fossa disorders causing abdominal pain: Left iliac fossa disorders causing abdominal pain refers to abdominal discomfort that is caused by a disorder of the left hip. Baumgartner CJ (1929) Pathological lesions of the gall bladder. Iliac crest pain can be caused by many factors. Medical imaging, in particular abdominal computed tomography, plays a crucial role in the characterization and the diagnosis of certainty of these masses of RIF mass in the elderly [7]. appendicular abscess; appendicular mucocele Newman TH, Caine EA, Lynes K, Sebastian J (2017) An uncommon right iliac fossa mass in an older woman. Ratnasamy V, Thirunavukarasu K, Selvam K, Arumugam M (2016) Amoebic liver abscess: an unusual cause for a right iliac fossa mass: a case report. Abdominal ultrasound and CT concluded at acute cholecystitis (AC).
1 Studies published about the diagnosis of RIF pain have focused on the main diagnosis of acute appendicitis (AA) and in subgroups of patients with differential characteristics. Radiology plays an important role in this differentiation.
Pain of the right iliac fossa (RIF) can be cause for alarm as it is a sign of a number of health conditions such as appendicitis. Its diagnosis is not always easy in these subjects because of several clinical and/or paraclinical particularities [5]. Abdominal ultrasound: localized and compartmentalised fluid effusion surrounding the mass, Figure 4. Vashistha N, Aggarwal B, Singhal D (2017) Incidentaloma in the Right Iliac Fossa.
We are reporting an original observation of an unexpected diagnosis of a RIF mass in the elderly. The two share a considerable number of differential diagnoses but some conditions are more likely, or … It contained a 4.5 cm diameter hyperechoic, laminated, and mobile arciform image, followed by a posterior shadow cone (Figure 1). Given the range of potential pathologies, RIF pain creates diagnostic uncertainty and there is subsequent variation in investigation and management. Unable to process the form.
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