Appendicovesical Fistula Research Articles

Appendicovesical Fistula, as the First Presentation of Mucinous Adenocarcinoma of Appendix: A Case Report

In this case report, a man presenting with a rare symptom of appendix cancer is dis- cussed.
 Hematuria, which was the key diagnostic feature in this patient, has never been re- ported as a presenting feature of appendix cancer which may explain why this patient has been experiencing this symptom for months and yet have not get the proper di- agnosis.
 As we discussed in the case report, although appendiceal cancer is a potentially life-threatening issue, it is frequently missed in patients. Therefore, we believe report- ing this key symptom in this journal would help physicians to make a more accurate diagnosis in this matter.

Images - Appendico-vesical fistula.

Appendico-vesical fistula (AVF) is an uncommon type of enterovesical fistula that can present with symptoms of recurrent or persistent urinary tract infection (UTI) and, in some instances, with gastrointestinal symptoms. AVFs occur more commonly in males and are mainly attributed to unrecognized or conservatively managed appendicitis.1 Herein, we describe a case of a 21-year-old male who presented with fevers, urgency, and hematuria and on extensive workup was found to have an AVF requiring surgical repair. Drawing from our case and the literature, we conclude that AVF occurs rarely and requires a high index of suspicion among physicians. Past medical history of previous acute appendicitis and UTIs with or without gastrointestinal symptoms should raise suspicion for AVF.

A Case of an Appendico-vesical Fistula due to Appendicitis Detected by Gross Hematuria

A Case of an Appendico-vesical Fistula due to Appendicitis Detected by Gross Hematuria

Case report of laparoscopic diagnosis and treatment on infant appendicovesical fistula

Case report of laparoscopic diagnosis and treatment on infant appendicovesical fistula

A Very Rare Complication of Acute Appendicitis: Appendicovesical Fistula.

Appendicovesical fistula (AVF) is an uncommon type of enterovesical fistula and a very rare complication of acute appendicitis. Herein, we report a case of 39-year-old male patient who presented with persistent urinary tract infection, recurrent abdominal pain, and pneumaturia. Imaging techniques including ultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI) were performed to identify the abnormality. However, definitive diagnosis of AVF was made by cystoscopy.

Appendicovesical Fistula Following Transurethral Resection of Bladder Tumor With Mitomycin C

Appendicovesical fistula is a rare entity, with only 116 cases reported to date. It is an uncommon form of enterovesical fistula and often associated with a history of appendicitis. It can present as pneumaturia, fecaluria, and recurrent urinary tract infections, not unlike symptoms of enterovesical fistulas. We present a novel case of appendicovesical fistula developing after transurethral resection of bladder tumor and instillation of mitomycin C. Treatment included laparoscopic appendectomy and bladder repair.

Combination of CT imaging and endoscopy in diagnosis of appendicovesical fistula caused by appendiceal adenocarcinoma

The appendiceal diseases, particularly appendicitis, are the most common disorders in the digestive system localized at the right lower quadrant area. However, appendiceal carcinoma with vesico-appendiceal fistula is a rare clinical phenomenon. Lacking specific symptoms, appendiceal carcinomas with fistula formations are often misdiagnosed as acute appendicitis cases. The purpose of this study is to increase awareness of appendiceal neoplasms and appendicovesical fistulas. We reported our experiences in three complex cases related to digestive and urological systems, and reviewed the literature on diagnosis with various X-ray imaging techniques for this lesion. In this report, the first case failed to be diagnosed. The other two patients with appendicovesical fistulas secondary to appendiceal adenocarcinomas were successfully detected with computed tomography (CT) and cystoscopy. The patients recovered after right hemicolectomies and en bloc partial cystectomies and survived without tumor metastasis up to 7-year follow-up. In conclusion, a combined use of CT imaging and endoscopy techniques provides an accurate diagnostic alternative for appendicovesical fistula secondary to appendiceal adenocarcinoma.

Appendicovesical fistula associated with villous adenoma of the bladder

We report a new case of villous adenoma of the bladder associated with appendicovesical fistula treated by appendectomy along with fistula neoplasty. Authors: Xiao, Fei; Zhang, Qian; Jin, Jie Corresponding Author: Fei Xiao, Peking University First Hospital, Department of Urology, NO.8 Xi Shi Ku St., Xicheng District, Beijing, China. Email: feix1013@gmail.com […]

A Case of Appendicovesical Fistula with a 30-Year History

A 36–year–old man was referred to our hospital after developing dull lower abdominal pain, pneumaturia, and fecaluria. He had a history of acute appendicitis treated without surgery at the age of 6, and had since experienced recurrent episodes of cystitis, pneumaturia, and fecaluria. Escherichia coli was cultured from the urine. Abdominal CT and MRI suggested an enterovesical fistula. Cystoscopy revealed a stone in the bladder, for which lithotripsy was performed. An unusual dilation of the appendix orifice was found on colonoscopy. Retrograde cystography did not show an enterovesical fistula ; however, a small bowel series using an ileus tube revealed an appendicovesical fistula. The patient therefore underwent surgery and the fistula was found between the right side of the bladder dome and the middle of the appendix. Appendectomy with partial cystectomy including the fistula was performed. We concluded that the appendicovesical fistula might have developed after appendicitis at the age of 6 and that the diagnosis could have been delayed for as long as 30 years because the fistula was well established. Appendicovesical fistula is a rare condition, generally forming after appendicitis. Direct imaging of the fistulous tract is not easy, and the fistula often takes a long time to diagnose. However, the diagnosis can be made if specific findings are present, and the disease is completely curable by operation.

Laparoscopic Treatment of Appendicovesical Fistula

A 23-year-old man had a history of intermittent episodes of urinary tract infection with associated low abdominal pain for 15 years. Persistent bacteriuria even with prolonged antibiotics was the reason why he was referred to our hospital. Laboratory tests were normal except pyuria and growth of Escherichia coli in the urinary samples. Cystoscopy revealed a small slit-like opening on the right lateral wall of bladder dome. We found some air within the bladder and a suspicious communicating tract between the appendix and bladder on a CT scan. With a strong impression of appendicovesical fistula, a laparoscopy was performed to confirm a diagnosis and to remove the appendicovesical fistula resulting in a satisfactory result without any complication.

Appendico-vesical fistula: A clinical and imaging challenge—A case report based discussion of imaging implication

Diagnosis of appendico-vesical fistula (AVF) is challenging because clinical symptoms are frequently nonspecific. Radiologists have to detect subtle abnormalities from frontline imaging modalities, such as plain abdominal radiograph or ultrasound (US); those may indicate more specific diagnostic modalities to demonstrate the fistula. Early recognition of indirect sign is meaningful, because delayed diagnosis may result in significant sequalae, for example, failure to thrive and anemia, which are particularly important in children. We report a boy with an AVF who presented with intractable recurrent urinary tract infection and – on basic imaging – had abnormally shaped urinary calculi on plain radiograph and an abnormal direction of ureteric bladder inflow jet on US. These findings led to further investigation with voiding cystourethrography and cystoscopy, from which the diagnosis was established, and eventually surgery confirmed the diagnosis.

Appendicovesical Fistula in a Child with Crohn's Disease: A Unique Case

Appendicovesical Fistula in a Child with Crohn's Disease: A Unique Case

Appendicovesical fistula in a girl with cystic fibrosis

This report describes a teenage girl with cystic fibrosis in whom appendicitis developed complicated by appendicovesical fistula. This is a rather uncommon complication in the modern era.

Appendicovesical fistula.

In this study, a case of appendicovesical fistula is introduced, a really uncommon complication of acute appendicitis. This special case joins the other 102 cases which have already been described in the international literature. Due to the mild and ambiguous symptomatology, the diagnosis of this kind of fistula is difficult to be confirmed, although a serious suspicion of a vesicointestinal communication does exist. Exploratory laparotomy is usually diagnostic and leads to decisive therapy. A brief review of this clinical entity is also included.

Computerized Tomography in the Diagnosis of Appendicovesical Fistula

Appendicitis and its complications are among the causes of an enterovesical fistula, with approximately 100 such cases reported. This condition is seldom diagnosed preoperatively and surgery is often delayed. We report 2 cases of an appendicovesical fistula that were diagnosed preoperatively by computerized tomography (CT). We describe a CT finding consistent with the diagnosis, namely calcification in the thickened bladder wall adjacent to the cecum on noncontrast CT, which is a fecalith in the lumen of the fistula.

Appendicovesical Fistula Associated with Papillovillous Adenoma of the Appendix

Appendicovesical fistulae represent 5% of all intestinal vesical fistulae. Usually a known cause is appendicitis, cecal diverticulitis, cystadenocarcinoma of the appendix and carcinoid tumors. We report the 2nd case, to our knowledge, where a benign tumor is a possible reason for the formation of an appendicovesical fistula.

Colovesical fistula caused by appendicitis

A case of colovesical fistula in a 51-year-old male patient is described. The connection, between the base of the bladder and the rectosigmoid junction, was caused by an appendicitis in the tip of a pelvic appendix which had perforated into the bladder and rectosigmoid. There was no appendicovesical fistula connecting with the caecum.

Serendipitous Diagnosis of Appendicovesical Fistula by Bone Scan: A Case Report

A 71-year-old patient had recurrent urinary tract infections for 7 years after sigmoid colectomy via a Hartmann procedure. Extensive radiological and endoscopic tests were inconclusive as to the cause of bacteriuria. Chronic back pain led to performance of a radionuclide bone scan with the incidental demonstration of a vesicoenteric fistula, confirmed at exploration. Appendectomy with resection of the involved bladder resulted in cessation of bacteriuria. (J. Urol, 142: 815–816, 1989)

Appendicovesical fistula

Appendicovesical fistula is a rare complication of unrecognized appendicitis. Only 99 previous cases have been reported in the literature. We reviewed these cases and contribute an additional one with hope that increased awareness of this entity may facilitate the correct diagnosis and avoid inappropriate management.

Appendico-vesical Fistula due to an Appendix Abscess with Associated Goblet Cell Carcinoid of the Appendix

Appendico-vesical Fistula due to an Appendix Abscess with Associated Goblet Cell Carcinoid of the Appendix