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Appendicovesical fistula: case report and review.
Jonathan I. Izawa1, Brian M. Taylor, John D. Denstedt
1Division of Urology and Department of Surgery, University of Western Ontario, London, Ontario.
The Canadian Journal of Urology
|April 12, 2001
Summary
Appendicovesical fistulae, rare complications of appendicitis, present with urinary issues and abscesses. Surgical intervention, like right colectomy, can effectively manage this condition.
Area of Science:
- Urology
- Gastroenterology
- Surgical Case Reports
Background:
- Appendicovesical fistulae are uncommon, often resulting from acute or undiagnosed appendicitis.
- These fistulae connect the appendix to the bladder, leading to complex urinary symptoms.
Purpose of the Study:
- To present a case of appendicovesical fistula in a pediatric patient.
- To discuss the diagnostic and management strategies for this rare condition.
Main Methods:
- A 15-year-old male presented with urinary symptoms and a pelvic abscess identified via imaging.
- Surgical exploration (laparotomy) revealed an appendicovesical fistula.
- The fistula was treated with a right colectomy and an ileal transverse colon anastomosis.
Main Results:
- The surgical management successfully closed the appendicovesical fistula.
- The patient recovered following the colectomy and anastomosis.
Conclusions:
- Appendicovesical fistula requires prompt diagnosis and surgical management.
- Right colectomy with ileal transverse colon anastomosis is a viable treatment option for appendicovesical fistula.