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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Right Abdominal Pain Be Related To A Right Iliac Fossa Mass?

i feeling mutch pain in my right abdomen according to ultrasound report evry thing is clear like kidnee liver stomec appendux andblader etc.but a mass is seaing in right illalic fosa region.size of mass is 85mm by 55mm.hear no any further detail of mass.my family docter is treeting me with ofloxacine and pain killer. starting of pain is from 10 day ago
Thu, 13 Nov 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.
The pain in the right abdomen will be obviously related to the right iliac fossa mass.
Such a big mass of the size of more than 8.5 cm by 5.5 cm can be due to a few things.
-Twisted ovarian cyst , the stalk becomes elongated. And can be palpated / seen in the ultrasonography.
- Mesenteric cyst is another possibility.
I would suggest you the following.
Confirmation by CT scan
The best way is to put a Laparoscope, see what it is and to excise this mass in-toto and to send for histopathology report.
Consult a Laparoscopic Surgeon and a Gynecologist for second opinion and get operated after Physician's fitness for anesthesia and surgery.
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Can Right Abdominal Pain Be Related To A Right Iliac Fossa Mass?

Hi. Thanks for your query. The pain in the right abdomen will be obviously related to the right iliac fossa mass. Such a big mass of the size of more than 8.5 cm by 5.5 cm can be due to a few things. -Twisted ovarian cyst , the stalk becomes elongated. And can be palpated / seen in the ultrasonography. - Mesenteric cyst is another possibility. I would suggest you the following. Confirmation by CT scan The best way is to put a Laparoscope, see what it is and to excise this mass in-toto and to send for histopathology report. Consult a Laparoscopic Surgeon and a Gynecologist for second opinion and get operated after Physician s fitness for anesthesia and surgery.