An Abdominal Mass: A Case of Jekyll and Hyde?
- Author:
Gendeh HS
;
Kosai NR
;
Belani LK
;
Taher MM
;
Reynu R
;
Ramzisham AR
- Publication Type:Case Reports
- Keywords:
caecal tumour;
giant appendix;
abscess
- MeSH:
Abscess
- From:Medicine and Health
2015;10(2):156-158
- CountryMalaysia
- Language:English
-
Abstract:
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 postmenopause,
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.
- Full text:P020151118543176479481.pdf
