EVALUATING THE ROLE OF DIAGNOSTIC LAPAROSCOPY IN RIGHT ILIAC FOSSA PATHOLOGIES IN THE CONTEXT OF SONOGRAPHIC EVIDENCE OF INFLAMMATION gamagekanil@gmail.com

 

EVALUATING THE ROLE OF DIAGNOSTIC LAPAROSCOPY IN RIGHT ILIAC FOSSA PATHOLOGIES IN THE CONTEXT OF SONOGRAPHIC EVIDENCE OF INFLAMMATION

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Sri Lanka

Oral or Poster

The right iliac fossa (RIF) is a common site of acute abdominal pain, frequently associated with appendicitis and gynecological conditions. When sonographic findings are inconclusive, diagnostic laparoscopy provides real-time visualization and the opportunity for immediate intervention.

A retrospective analysis was conducted over a 7-month period in the surgical unit of a tertiary care hospital. Seventy (70) patients (41 females and 29 males) with RIF pain and inflammatory findings on ultrasound underwent diagnostic laparoscopy. Intraoperative findings and interventions were reviewed and analyzed.

In females, laparoscopic findings included appendicitis (n=16), pelvic inflammatory disease (PID) (n=7), both appendicitis and PID (n=2), ovarian torsion (n=1), ovarian cysts (n=4), mesenteric adenitis (n=4), appendicular mass (n=3), and normal findings (n=4). Among males, findings included appendicitis (n=20), ileitis (n=2), mesenteric adenitis (n=2), appendicular mass (n=3), and normal findings (n=2). Overall, appendicectomy was performed in 57% of the cohort, and gynecological interventions in 12% of females.

Diagnostic laparoscopy enhances accuracy in evaluating RIF pathologies when ultrasound findings are inconclusive. It reduces unnecessary appendectomies and helps identify gynecological conditions particularly in reproductive age females. It is a valuable minimally invasive modality offering real-time visualization of intra-abdominal and pelvic organs. It improves diagnostic accuracy, lowers negative appendectomy rates, and prevents missed gynecological diagnoses. Additionally, it allows simultaneous diagnosis and treatment of coexisting conditions with reduced morbidity and better cosmetic outcomes. This dual diagnostic-therapeutic advantage makes it a preferred approach in acute abdominal evaluation.