[Laparoscopic therapy of appendicovesical fistula -- two case reports].
Two cases of appendicovesical fistula are reported. One case was caused by Crohn's disease, the second case by a chronical appendicitis. The guiding symptoms in both cases were coprosuria and pneumaturia, with chronical infection of the urinary tract. No diagnostic imaging method was able to detect the fistula. The correct diagnosis was finally made by laparoscopy followed by laparoscopical appendicectomy and fistula closure. The clinical symptoms alone seem to be sufficient for indication to operate. Thus, an early laparoscopic operation significantly can shorten the length of disease.
Albrecht
K
K
Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Essen. Kalbrecht@kliniken-essen-mitte.de
Schumann
R
R
Peitgen
K
K
Walz
M K
MK
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications; D001065:Appendix; D002429:Cecal Diseases / Q000175:diagnosis / Q000601:surgery*; D002908:Chronic Disease; D003424:Crohn Disease / Q000150:complications; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D013997:Time Factors; D001747:Urinary Bladder Fistula / Q000175:diagnosis / Q000601:surgery*