An Abdominal Mass: A Case of Jekyll and Hyde?

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-ol...

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Main Authors: Gendeh BS, Kosai NR, Belani LK, Taher MM, Reynu R, Ramzisham AR
Format: Article
Language:English
Published: Penerbit UKM 2015
Online Access:http://journalarticle.ukm.my/9284/
http://journalarticle.ukm.my/9284/1/11.%2520Gendeh%2520HS%2520et%2520al..pdf
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author Gendeh BS,
Kosai NR,
Belani LK,
Taher MM,
Reynu R,
Ramzisham AR,
author_facet Gendeh BS,
Kosai NR,
Belani LK,
Taher MM,
Reynu R,
Ramzisham AR,
author_sort Gendeh BS,
building UKM Institutional Repository
collection Online Access
description 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 post-menopause, 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.
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spelling oai:generic.eprints.org:92842016-12-14T06:49:27Z http://journalarticle.ukm.my/9284/ An Abdominal Mass: A Case of Jekyll and Hyde? Gendeh BS, Kosai NR, Belani LK, Taher MM, Reynu R, Ramzisham AR, 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 post-menopause, 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. Penerbit UKM 2015-12-02 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9284/1/11.%2520Gendeh%2520HS%2520et%2520al..pdf Gendeh BS, and Kosai NR, and Belani LK, and Taher MM, and Reynu R, and Ramzisham AR, (2015) An Abdominal Mass: A Case of Jekyll and Hyde? Medicine & Health, 10 (2). pp. 156-158. ISSN 1823-2140 http://www.medicineandhealthukm.com/
spellingShingle Gendeh BS,
Kosai NR,
Belani LK,
Taher MM,
Reynu R,
Ramzisham AR,
An Abdominal Mass: A Case of Jekyll and Hyde?
title An Abdominal Mass: A Case of Jekyll and Hyde?
title_full An Abdominal Mass: A Case of Jekyll and Hyde?
title_fullStr An Abdominal Mass: A Case of Jekyll and Hyde?
title_full_unstemmed An Abdominal Mass: A Case of Jekyll and Hyde?
title_short An Abdominal Mass: A Case of Jekyll and Hyde?
title_sort abdominal mass: a case of jekyll and hyde?
url http://journalarticle.ukm.my/9284/
http://journalarticle.ukm.my/9284/
http://journalarticle.ukm.my/9284/1/11.%2520Gendeh%2520HS%2520et%2520al..pdf