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  • Title: [Diagnostic surprises in apparently inflammatory masses of the right iliac fossa].
    Author: Moser JJ, Barras JP, Baer HU.
    Journal: Helv Chir Acta; 1994 Apr; 60(4):653-6. PubMed ID: 8034549.
    Abstract:
    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.
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