Appendicovesical Fistula Following Transurethral Resection of Bladder Tumor With Mitomycin C

Feng, Tom; Rusnack, S. L.; Kamiński, Jan P.; Fleshner, Phillip

doi:10.1016/j.urology.2015.12.011

Cited by 8 publications

(3 citation statements)

References 1 publication

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“…Of the 148 cases of fistula to the bladder, 52 cases had insufficiently detailed case information to be included in our sub‐analysis . Fistulae involving the urinary tract also included those which projected to the kidney (two cases), ureter (four cases), and one case of urachal cyst …”

Section: Resultsmentioning

confidence: 99%

Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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Background The appendix has a unique place in surgical history. Although the first ever appendicectomy involved a fistula to the skin, fistulae involving the appendix remain uncommon and can lead to unique surgical considerations. Methods A systematic review of the literature was performed for case reports of appendiceal fistulae. We excluded cases in which the patient had a history of appendicectomy. Cases were categorized by site and aetiology, with information regarding relative frequency and demographics obtained. Results A total of 301 case reports of fistula involving the appendix were found. The most common sites of these fistulae were to the bladder (148 cases), skin (40 cases), vasculature (19 cases), umbilicus (16 cases) and to the gastrointestinal tract. The most common aetiology in sub‐analysis was appendicitis alone (150 cases), with less common causes including appendiceal adenocarcinoma (32 cases) and congenital abnormalities (18 cases). There were significantly more appendiceal fistulae in males than in females, with a ratio of 1.7:1. In patients with appendiceal adenocarcinoma as a cause for fistula, there were significantly more females than males with a ratio of 2.3:1. Conclusion In conducting a systematic review of case reports of fistulae involving the appendix, we identified 301 unique case reports, with a range of different sites and aetiologies.

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Section: Resultsmentioning

confidence: 99%

Fistulae involving the appendix: a systematic review of the literature

McDonald

Lee

Dean

et al. 2020

ANZ Journal of Surgery

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“…However, appendiceal adenocarcinoma, carcinoid, neuroma, papillovillous adenoma, polypoid urinary bladder tumor, actinomycosis, cystic fibrosis, Crohn's disease, and Hirschsprung's disease have also been identified as causes 3 . Procedures such as transurethral resection of the prostate (TURP) 4 , extravasation of chemotherapy into the bladder tumor and instillation of mitomycin C 5 have also resulted in the formation of AVFs on rare occasions 6 . AVF are less likely to occur in females as the uterus is situated between the appendix and bladder hence serves as a barrier 7 .…”

Section: Discussionmentioning

confidence: 99%

Images – Appendico-vesical fistula

Afenu

Trecarten

Neu

et al. 2022

CUAJ

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Appendico-vesical fistula (AVF) is an uncommon type of enterovesical fistula that can present with symptoms of recurrent or persistent urinary tract infection (UTI) and, in some instances, with gastrointestinal symptoms. AVFs occur more commonly in males and are mainly attributed to unrecognized or conservatively managed appendicitis.1 Herein, we describe a case of a 21-year-old male who presented with fevers, urgency, and hematuria and on extensive workup was found to have an AVF requiring surgical repair. Drawing from our case and the literature, we conclude that AVF occurs rarely and requires a high index of suspicion among physicians. Past medical history of previous acute appendicitis and UTIs with or without gastrointestinal symptoms should raise suspicion for AVF.

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“…Reported appendiceal pathologies leading to appendiceal fistula include acute appendicitis, periappendiceal abscess, incomplete appendicectomy, malignancy (mucinous adenocarcinoma), goblet cell carcinoid, isolated Crohn's disease, appendiceal diverticulitis, papillovillous adenoma, and neuroma . Reports of adjacent pathologies leading to appendiceal fistula include malignancy (cervical squamous cell carcinoma); sigmoid diverticulitis; Hirschsprung's disease; cystic fibrosis; abdominal aortic aneurysm (primary and secondary to repair); arterial reconstruction; and recent or previous surgery (trauma laparotomy, hysterectomy, transurethral resection of prostate, transurethral resection of bladder tumor with Mitomycin C, right inguinal hernia repair, and right groin hernia repair with propylene plug).…”

Section: Introductionmentioning

confidence: 99%