Appendicovesical fistula: case report and review
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Updated: Oct 8, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Jonathan I. Izawa1, Brian M. Taylor, John D. Denstedt
1Division of Urology and Department of Surgery, University of Western Ontario, London, Ontario.
Abstract:
Appendicovesical fistulae are rare and occur secondary to acute or missed acute appendicitis. A 15 year old boy presented with urinary symptoms and a pelvic abscess on imaging studies. At laparotomy an appendicovesical fistula was encountered and was successfully managed by a right colectomy and ileal transverse colon anastomosis. The presentation and management of appendicovesical fistula is discussed.
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