[Diagnostic surprises in apparently inflammatory masses of the right iliac fossa].
Most patients presenting an inflammatory mass of the right iliac fossa have a medical history suggestive of an acute appendicitis the weeks before and further investigations will confirm the diagnosis of an appendicular abscess. During the last 2 years, we have investigated and treated seven adults presenting such a mass. In a diagnostic purpose, but in way to treat the suspected abscess in the acute phase with a percutaneous drainage too, we have performed a CT of the abdomen and of the pelvis in every case. Only 3 of 7 patients had in fact a true appendicular pathology. One patient had a cecal diverticulitis with severe peri-diverticulitis, 3 other patients had a malignant lesion developed from a small intraluminal tumor but with a wide extension outside the limit of the cecum. These examples show that careful investigations are mandatory in all cases of apparent inflammatory mass of the right iliac fossa.
Klinik für Viszerale und Transplantationschirurgie, Inselspital Bern.
J J
JJ
Moser
J P
JP
Barras
H U
HU
Baer
D000038:Abscess / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D001064:Appendicitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001065:Appendix / Q000473:pathology; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
Surprises diagnostiques dans les masses apparemment inflammatoires de la fosse iliaque droite.