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Related Experiment Videos

Appendico-ileo-vesical fistula

Y J Kawamura1, Y Sugamata, K Yoshino

  • 1Department of Surgery, Sanraku Hospital, Tokyo, Japan.

Journal of Gastroenterology
|December 16, 1998
PubMed
Summary

Appendico-vesical fistula is rare, often linked to appendicitis. This case highlights appendiceal diverticulitis as a cause of appendico-ileo-vesical fistula, emphasizing diagnostic imaging like barium enema and colonoscopy for effective treatment.

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Area of Science:

  • Gastroenterology
  • Urology
  • Surgical Pathology

Background:

  • Appendico-vesical fistula is a rare complication, with most cases arising from appendicitis.
  • Enterovesical fistulas present diagnostic challenges, necessitating comprehensive imaging and endoscopic evaluation.

Observation:

  • A rare case of appendico-ileo-vesical fistula secondary to appendiceal diverticulitis is presented.
  • Diagnosis involved urine culture, cystoscopy, computed tomography, barium enema, and colonoscopy to identify the fistula's origin and extent.

Findings:

  • The study details the first reported instance of appendico-ileo-vesical fistula originating from appendiceal diverticulitis.
  • Surgical intervention included ileocecal resection and fistulectomy with primary reconstruction.

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Implications:

  • Accurate pre-operative and intra-operative diagnosis is crucial for successful management of appendico-vesical fistulas.
  • Barium enema and colonoscopy are vital tools for diagnosing and guiding treatment of complex enterovesical fistulas.