Findings on ultrasonography in patients with severe right iliac fossa pain

Background: One of the most prevalent reasons that patients present to the emergency department (ED) is pain in the right iliac fossa, or RIF. Objective: This study's goal was to use ultrasonography to evaluate the possible causes of acute RIF pain. Materials and Methods: This cross-sectional study was carried out from July 2023 to December 2023 at the Tikrit Teaching Hospital. Seventy-five (75) patients in all arrived at the ED complaining of severe pain in the RIF. US was performed on the patients utilizing transducers operating at 6 and 11 MHz with end cavitary probe in some female patients. Women who were late in their pregnancies and those with known malignancy were excluded. Results: A total of 75 individuals that initially complained of pain in the RIF underwent clinical and sonographic examinations. Twelve cases (16%) yielded no results; in contrast, eighteen patients (24%) had appendicitis; ovarian cysts (20%), right lower ureteric stones (16%), and pelvic inflammatory illness (8%). The RIF's pain-causing disease distribution was significantly influenced by age and gender (P = 0.04). Conclusion: Several abnormalities that induce pain in the RIF were present in addition to appendicitis. In the RIF, the most common causes of pain after appendicitis were lower ureteric stones and ovarian cysts. For acute right iliac fossa pain, especially in young females, US is necessary before undergoing any surgery.