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Appendicovesical fistula
A Athanassopoulos1, M J Speakman
1Department of Urology, Taunton and Somerset Hospital, Musgrove Park, UK.
International Urology and Nephrology
|January 1, 1995
Summary
Appendicovesical fistula, a rare complication of appendicitis, presents diagnostic challenges due to mild symptoms. Exploratory laparotomy is key for diagnosis and treatment of this rare vesicointestinal communication.
Area of Science:
- Urology
- Gastroenterology
- Surgical Pathology
Background:
- Appendicovesical fistula is an uncommon complication of acute appendicitis.
- This condition represents a rare form of vesicointestinal communication.
- Existing literature documents only a limited number of appendicovesical fistula cases.
Purpose of the Study:
- To introduce a case of appendicovesical fistula.
- To review the clinical entity of appendicovesical fistula.
- To highlight diagnostic and therapeutic considerations for this rare condition.
Main Methods:
- Case presentation of appendicovesical fistula.
- Review of international literature on appendicovesical fistula.
- Discussion of diagnostic challenges and treatment approaches.
Main Results:
- The study presents one additional case to the 102 previously reported cases.
- Diagnosis is often difficult due to mild and ambiguous symptomatology.
- Exploratory laparotomy serves as a crucial diagnostic and therapeutic tool.
Conclusions:
- Appendicovesical fistula is a rare but significant complication of appendicitis.
- Vesicointestinal communication requires high clinical suspicion for diagnosis.
- Surgical intervention, typically exploratory laparotomy, is essential for management.