Evaluating Right Iliac Fossa Masses: Differential Diagnosis Spectrum and Therapeutic Management

Background and Aim: Right iliac fossa (RIF) masses are associated with various pathologies such as appendicitis, tuberculosis, and malignancies. This study explores the different etiologies, clinical presentations, diagnostic techniques, and management approaches for RIF masses. Material and Methods: A prospective observational study was conducted on 45 patients presenting with RIF masses. Data was collected through clinical examinations, imaging, and histopathological analysis. Results: The most common diagnosis was appendicular mass (46.67%), followed by ileocaecal tuberculosis (20%) and appendicular abscess (15.56%). Ultrasound was the primary diagnostic tool, and conservative management was most frequently employed for appendicular mass. Conclusion: Early diagnosis and tailored treatment, including conservative or surgical approaches, are essential for managing RIF masses and improving patient outcomes.