Diagnostic Challenges in Right Iliac Fossa Mass Caused by a Fish Bone

Ahmad Ibrahim Yahaya,1 Ismail Burud,2 Jasiah Zakariaa1

1 Department of General Surgery, Hospital Tuanku Ja’afar, Jalan Rasah, 70300 Seremban, Negeri Sembilan, Malaysia

2 Department of Surgery, International Medical University, Clinical Campus, 70300 Seremban, Negeri Sembilan, Malaysia

Correspondence to: Dr. Ahmad Ibrahim Yahaya, Email: aiyqosim@yahoo.com

Received: 07 December 2019; Revised: 01 June 2020; Accepted: 05 June 2020; Available online: 22 June 2020

 

Summary

Right iliac fossa (RIF) mass is a common condition seen by surgeons. Despite advances in diagnostic modalities, it remains a diagnostic and therapeutic challenge, hence many authors describe RIF mass as temple of surprises. We report a challenging case of a 35-year-old man who presented with a tender RIF mass. Abdominal ultrasonography (USG) and computed tomography (CT) scan abdomen were done and he was treated non-surgically. His symptoms recurred after one month and a CT scan abdomen was repeated which revealed a suspicious foreign body within the appendicular mass. Laparotomy was performed which showed a macerated appendix with a 4-cm long fish bone within. The role of diagnostic tools in managing RIF mass and the treatment modality of appendicular mass are discussed. In managing RIF mass, a surgeon must be aware of the various differential diagnoses, but common diagnosis should always be entertained. Multi-modal diagnostic tools must be considered, including serial imaging in different planes.

 

Keywords: Appendicitis, Right iliac fossa mass, Fish bone

Ann Afr Surg. 2021; 18(1):59–62

DOI: http://dx.doi.org/10.4314/aas.v18i1.11

Conflicts of Interest: None

Funding: None

© 2021 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

ssk_logo.png

The Annals of African Surgery is the official publication of the Surgical Society of Kenya.

 

All content copyright © 2021 Annals of African Surgery.

ISSN (print): 1999-9674; ISSN (online): 2523-0816

Main Office Location: Menelik Medical Centre, Menelik Road, off Ngong Road, Nairobi. First floor.

Telephone: +254715260499

Email: info@annalsofafricansurgery.com.

 

The content on this site is intended for health professionals. Advertisements on this site do not constitute a guarantee or endorsement by the journal, Association, or publisher of the quality or value of such product or of the claims made for it by its manufacturer.

Click here to subscribe and get the latest from Annals of African Surgery

70.png
69.jpg
hinari_header_en.png
  • Twitter
  • Facebook Social Icon
  • YouTube
  • LinkedIn
  • Instagram