Laparoscopic diagnosis of appendicovesical fistula in a pediatric patient.
Appendicovesical fistula is a rare complication of acute appendicitis in children that is difficult to diagnose preoperatively. A 21-month-old boy with signs and symptoms of recurrent urinary tract infections underwent abdominal ultrasonography, computed tomography (CT), barium enema examination, and cystography, none of which was sufficient to establish a diagnosis; an appendicovesical fistula was demonstrated by laparoscopy. The patient underwent open appendectomy, with resection of the fistula through a small incision, and has recovered without complications.
Yamamoto
H
H
Department of Pediatric Surgery, Kumamoto University Hospital, Japan.
Yoshida
M
M
Sera
Y
Y
Ikeda
S
S
Terakura
H
H
D001062:Appendectomy; D001064:Appendicitis / Q000150:complications / Q000601:surgery; D001065:Appendix / Q000000981:diagnostic imaging / Q000473:pathology*; D001466:Barium Sulfate; D002429:Cecal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D003287:Contrast Media; D004733:Enema; D006801:Humans; D007223:Infant; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D001747:Urinary Bladder Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery
D003287:Contrast Media; D001466:Barium Sulfate