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Empty right iliac fossa.

L O Martinez, J T Friedland, M R Silberman

    Southern Medical Journal
    |August 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    An empty right iliac fossa on X-rays is a nonspecific sign, often indicating appendicitis, Crohn's disease, or cecal cancer. This finding is crucial for diagnosing intra-abdominal conditions.

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    Area of Science:

    • Radiology
    • Gastroenterology
    • Abdominal Imaging

    Background:

    • Plain roentgenograms are used for diagnosing intra-abdominal diseases.
    • Absence of gas or fecal shadows in the right iliac fossa is an observed radiographic finding.

    Purpose of the Study:

    • To investigate the diagnostic significance of an empty right iliac fossa on plain roentgenograms.
    • To determine the association between an empty right iliac fossa and specific intra-abdominal pathologies.

    Main Methods:

    • Retrospective analysis of 137 confirmed cases of right lower quadrant disease.
    • Prospective identification of cases with an empty right iliac fossa.

    Main Results:

    • An empty right iliac fossa was most commonly associated with acute appendicitis, Crohn's disease, and carcinoma of the cecum.

    Related Experiment Videos

  • In retrospective analysis, 15.4% (21/137) of patients with right lower quadrant disease had an empty right iliac fossa.
  • Prospective identification revealed an empty right iliac fossa in 21 cases, with 61.9% (13/21) having confirmed disease.
  • Conclusions:

    • An empty right iliac fossa is an important, albeit nonspecific, radiographic finding in intra-abdominal disease.
    • This sign is frequently linked to acute appendicitis, Crohn's disease, and cecal carcinoma, aiding in differential diagnosis.