An Abdominal Mass: A Case of Jekyll and Hyde?

Gendeh BS, and Kosai NR, and Belani LK, and Taher MM, and Reynu R, and Ramzisham AR, (2015) An Abdominal Mass: A Case of Jekyll and Hyde? Medicine & Health, 10 (2). pp. 156-158. ISSN 1823-2140


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Right iliac fossa pain can often be misdiagnosed as something sinister or benevolent despite assistance with state of the art imaging techniques. This is particularly more challenging in the female gender whereby the error of managing a right iliac fossa pain may approach forty percent. A 66-year-old lady, ten years post-menopause, presented with a week history of progressively worsening right iliac fossa pain. Malignancy was suspected with a palpable abdominal mass. Computed tomography was suggestive of an abscess collection, but a needle aspirate produced brown faecal material suggestive of a diverticulitis. An exploratory appendisectomy revealed a non malignant appendicular abscess. In conclusion, when clinical and imaging assessments are inconclusive, an exploratory laparotomy for a surgical excision is warranted primarily if malignancy is suspected.

Item Type:Article
Keywords:Abscess, Caecal tumour, Giant appendix
Journal:Medicine & Health
ID Code:9284
Deposited By: mr Afandi
Deposited On:03 Dec 2015 08:27
Last Modified:14 Dec 2016 06:49

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