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Appendicovesical fistula associated with Hirschsprung's disease
A M Abubakar1, U H Pindiga, J Y Chinda
1Paediatric Surgery Unit, Department of Surgery, College of Medical Sciences, University of Maiduguri, Maiduguri, Borno State, Nigeria. walo1ng@yahoo.co.uk
Appendicovesical fistulae are rare, with only 112 cases reported globally. This study discusses a unique case of a 1-year-old boy with appendiceal perforation and Hirschsprung
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Urology
Background:
- Appendicovesical fistula is an uncommon condition, with limited documented cases in medical literature.
- Hirschsprung's disease is a congenital disorder affecting the large intestine.
Observation:
- A 1-year-old boy presented with a missed appendiceal perforation.
- The condition was associated with a long segment of Hirschsprung's disease, diagnosed neonatally.
Findings:
- This case represents a rare co-occurrence of appendicovesical fistula secondary to appendiceal perforation and long segment Hirschsprung's disease.
- The diagnostic delay in appendiceal perforation in neonates can lead to complex surgical challenges.
Implications:
- Highlights the importance of considering rare congenital anomalies in neonatal surgical cases.
- Emphasizes the need for timely diagnosis and management of appendiceal pathologies, even in the presence of other complex conditions.
- Contributes to the limited understanding of appendicovesical fistulae in pediatric patients.
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