2010
DOI: 10.3349/ymj.2010.51.3.463
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Laparoscopic Treatment of Appendicovesical Fistula

Abstract: 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 ap… Show more

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Cited by 13 publications
(17 citation statements)
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“…The most common organisms cultured in urine are Escherichia coli and Klebsiella 3. The patient also demonstrated irritative bladder symptoms including frequency, dysuria, and intermittent lower abdominal discomfort.…”
Section: Discussionmentioning
confidence: 98%
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“…The most common organisms cultured in urine are Escherichia coli and Klebsiella 3. The patient also demonstrated irritative bladder symptoms including frequency, dysuria, and intermittent lower abdominal discomfort.…”
Section: Discussionmentioning
confidence: 98%
“…Additionally, vesico-appendiceal fistula is extremely rare, constituting less than 5% of all vesico-enteric fistulas 2. It occurs most often in males between the ages of 10 and 40 3. The higher incidence of this disease in males originates from the uterine interposition between the bladder and appendix in females.…”
Section: Discussionmentioning
confidence: 99%
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“…It has been described in the context of perforated appendicitis 1,2 and in cystic fibrosis. 3 Although appendicoileal fistulas are the most common appendicoenteric fistulas, 4 the appendix has also been known to fistulate to other hollow viscera such as the bladder, 5 sigmoid colon, 6 aorta 7 and to the skin. 8 Cases such as this may also be observed in the presence of an appendiceal malignancy 9 and inflammatory bowel disease, 10 and not just due to appendicitis.…”
Section: Discussionmentioning
confidence: 99%
“…Patients commonly present with recurrent urinary tract infections. Nevertheless, the real etiology may be unsuspected for prolonged periods of time [91,92]. Unlike other enterovesical fistulae, pneumaturia and fecaluria are less common.…”
Section: Appendiceal Fistulaementioning
confidence: 99%