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Appendicovesical fistula in childhood: a rare complication of ruptured appendix
American Journal of Diseases of Children (1960)
|May 11, 1976
Insights
Diagnosing appendicovesical fistula in children is challenging, often leading to delays. Prompt recognition through specific examinations is key for successful surgical outcomes.
Area of Science:
- Pediatric Surgery
- Urology
- Gastroenterology
Background:
- Appendicovesical fistula is a rare complication of appendicitis.
- Delayed diagnosis hinders timely and effective surgical intervention.
Observation:
- The case highlights diagnostic challenges in pediatric patients with subacute or chronic abdominal pain.
- Specific diagnostic tools are crucial for identifying this condition.
Findings:
- Rectal examination, intravenous pyelogram, and voiding cystogram are valuable for diagnosing appendicovesical fistula.
- Early physician awareness is critical for prompt diagnosis.
Implications:
- Improved diagnostic strategies can lead to earlier treatment of appendicovesical fistula.
- Timely intervention ensures uniformly successful surgical outcomes in affected children.
Abstract:
The diagnosis of appendicovesical fistula is difficult and usually delayed. This is most unfortunate, since surgery is uniformly successful. The case we report reemphasizes the diagnostic value of the rectal examination, intravenous pyelogram, and foiding cystogram in a child with subacute or chronic abdominal pain. Only an awareness of this condition on the part of the attending physician will lead to prompt diagnosis and definitive therapy.