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A Very Rare Complication of Acute Appendicitis: Appendicovesical Fistula

Deniz Alis1, Cesur Samanci1, Yesim Namdar1

  • 1Istanbul University Cerrahpasa Medical Faculty Department of Radiology, 34098 Istanbul, Turkey.

Case Reports in Urology
|May 31, 2016
PubMed

Insights

Appendicovesical fistula (AVF), a rare complication of appendicitis, can cause persistent urinary issues. Definitive diagnosis was achieved through cystoscopy in a 39-year-old male patient.

Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Case Reports

Background:

  • Appendicovesical fistula (AVF) is an uncommon enterovesical fistula.
  • It is a rare complication of acute appendicitis.

Purpose of the Study:

  • To report a rare case of appendicovesical fistula.
  • To highlight diagnostic challenges and definitive diagnostic methods for AVF.

Main Methods:

  • A case study of a 39-year-old male patient with symptoms of UTI, abdominal pain, and pneumaturia.
  • Utilized ultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI).
  • Performed cystoscopy for definitive diagnosis.

Main Results:

  • Imaging studies suggested an abnormality but did not definitively diagnose AVF.
  • Cystoscopy confirmed the presence of an appendicovesical fistula.

Conclusions:

  • Appendicovesical fistula is a rare diagnosis.
  • Cystoscopy is crucial for definitive diagnosis of AVF when imaging is inconclusive.

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