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.
Department of Urology, Vanderbilt University School of Medicine, Nashville, Tennessee.
M E
ME
Bigler
J E
JE
Wofford
S M
SM
Pratt
W J
WJ
Stone
D000368:Aged; D001062:Appendectomy; D001065:Appendix / Q000601:surgery; D001464:Barium; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D003558:Cystoscopy; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011877:Radionuclide Imaging; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000601:surgery
D001464:Barium