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Colovesical fistula caused by appendicitis.

A Cockell¹, T McQuillan, T N Doyle

¹Department of Surgery, Royal Sussex County Hospital, Brighton.

The British Journal of Clinical Practice

|December 1, 1990

Summary

This summary is machine-generated.

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A rare colovesical fistula, a bladder-bowel connection, was caused by perforated appendicitis in a 51-year-old male. The fistula formed between the bladder base and rectosigmoid junction due to a pelvic appendix perforation.

Area of Science:

Urology
Gastroenterology
Surgical Pathology

Background:

Colovesical fistula is an abnormal connection between the colon and bladder.
Appendicitis, particularly pelvic appendix perforation, is a rare cause of colovesical fistula.
Diagnosis and management can be challenging due to the rarity and varied presentations.

Observation:

A 51-year-old male presented with symptoms indicative of a colovesical fistula.
Imaging and clinical evaluation revealed a fistula between the bladder base and the rectosigmoid junction.

Findings:

The fistula was attributed to a perforated pelvic appendix.
The perforation involved the bladder and rectosigmoid, but not the cecum, ruling out an appendiceal-cecal connection.

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Implications:

This case highlights a unique etiology for colovesical fistula formation.
Understanding such rare presentations is crucial for accurate diagnosis and surgical planning in complex gastrointestinal and urological cases.