The Role of Multidetector Computed Tomography in Evaluating Acute Right Iliac Fossa Pain

Introduction: Acute right iliac fossa (RIF) pain is a common clinical presentation with various underlying causes, ranging from appendicitis to gynecological and gastrointestinal conditions. Accurate and timely diagnosis is essential for effective management. Multidetector Computed Tomography (MDCT) has emerged as a valuable diagnostic tool due to its superior imaging capabilities, providing detailed anatomical and pathological insights.

Aims and Objectives: This study aims to evaluate the role of MDCT in identifying the etiology of acute RIF pain and assess its diagnostic accuracy in comparison with clinical findings and surgical or histopathological results.

Methods: A prospective study was conducted on patients presenting with acute RIF pain to a tertiary care hospital. All participants underwent MDCT scanning, and findings were correlated with clinical diagnoses and, where applicable, surgical and histopathological outcomes. Sensitivity, specificity, and diagnostic accuracy of MDCT were calculated.

Results: MDCT demonstrated a high sensitivity (94%) and specificity (91%) in diagnosing appendicitis, the most common cause of RIF pain. It also identified alternative diagnoses such as mesenteric lymphadenitis, ovarian torsion, and ileitis with high accuracy. MDCT findings influenced clinical decision-making, reducing unnecessary surgeries and improving diagnostic confidence.

Conclusion: MDCT is a highly effective imaging modality for evaluating acute RIF pain, offering detailed visualization of a wide spectrum of conditions. Its use significantly enhances diagnostic accuracy and aids in appropriate management, particularly in ambiguous cases.

Keywords: Acute right iliac fossa pain, Multidetector computed tomography, Appendicitis, Diagnostic accuracy, Abdominal imaging, Clinical correlation.