Laparoscopic treatment of appendicovesical fistula: a case report.
Appendicovesical fistula is an uncommon type of enterovesical fistula and a rare complication of unrecognized appendicitis. Only 100 cases have been reported previously in the literature, the vast majority being in young male patients. Our case is that of a middle-aged woman and is the first in which the diagnosis is made and surgical treatment rendered using a laparoscopic approach. Familiarity with diagnostic laparoscopy adds a powerful tool to the evaluation of patients with difficult or unusual surgical problems. Subsequent implementation of minimally invasive techniques for surgical therapy when appropriate can significantly decrease hospitalization and convalescence.
Department of Surgery, Keesler Medical Center, Keesler Air Force Base, Mississippi 39534-2527.
A Y
AY
Afifi
T J
TJ
Fusia
K
K
Feucht
M W
MW
Paluzzi
D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D001065:Appendix; D002429:Cecal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*