Colonoscopy has the advantage of not only picking up a primary cancer but also having the ability to detect synchronous polyps or even multiple carcinomas, which occur in 5% of cases. Colonoscopy enables a more detailed study of the mucosa, visualising lesions of less than 0.5cm. The principle advantage over radiology is that lesions can be biopsed, or removed by snare, cautery if they proved to be adenomatous polyps or a small polypoid carcinoma. A minimum of 30 cases with the following inclusion and exclusion criteria will be selected for the study. A presented proforma will be used to collect relevant information (Patient data, Clinical findings, Lab investigations, operative findings, procedure performed and postoperative complications) from all the selected patients. In present study, 29 patients were managed surgically and one patient managed conservatively. All patients of Appendicular abscess and mass were managed surgically.Out of 7 cases of Ileocaecal tuberculosis 6 cases were managed surgically followed Anti-tubercular treatment. One patient managed conservatively with ATT. All cases of Carcinoma caecum managed surgically followed by  chemotherapy. Non-Hodgkin’s lymphoma managed surgically but patient expired. Retroperitoneal sarcoma managed surgically followed radiotherapy. 

Keywords: Colonoscopy; Mass in Right Iliac Fossa; Non-Hodgkin Slymphoma