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.
Chung
Chul-Woon
CW
Departments of 1General Surgery, Bundang CHA Hospital, CHA University College of Medicine, Seongnam, Korea.
Kim
Kyoung Ah
KA
Chung
Jae-Seung
JS
Park
Dong Soo
DS
Hong
Jae Yup
JY
Hong
Young Kwon
YK
D000328:Adult; D001065:Appendix / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D001743:Urinary Bladder / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000601:surgery*; D014552:Urinary Tract Infections / Q000209:etiology / Q000601:surgery; D055815:Young Adult