Serendipitous Diagnosis of Appendicovesical Fistula by Bone Scan: A Case Report

Bigler, Mark E.; Wofford, John E.; Pratt, Stephen M.; Stone, William J.

doi:10.1016/s0022-5347(17)38900-0

Cited by 10 publications

(5 citation statements)

References 6 publications

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“…However, early diagnosis is difficult, because the symptoms are vague and useful diagnostic tools have not yet been identified. It has been reported that it usually has taken at least 1 year from the onset symptoms to diagnosis 5. Many diagnostic tools, such as intravenous pyelography (IVP), cystoscopy, cystography, colonoscopy, and CT scans, have been used for detecting a vesico-appendiceal fistula 3.…”

Section: Discussionmentioning

confidence: 99%

Vesico-Appendiceal Fistula Misdiagnosed as Meckel's Diverticulum: A Laparoscopic Approach

Lee

Ahn

2012

World J Mens Health

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A 26-year-old man complained of a vague low abdominal discomfort for the previous 2 months. Radiologic evaluations demonstrated that there was tubular structure connected with the right side wall of the bladder, suggesting Meckel's diverticulum with fistula formation to the bladder as well as a mass-like bladder wall thickening. With an impression of Meckel's diverticulum with fistula with the bladder, laparoscopic surgery was performed to confirm a diagnosis and to manage the Meckel's diverticulum with fistula with the bladder. The distal tip of the appendix was firmly attached to the right side of the bladder. The final diagnosis was corrected by laparoscopy followed by laparoscopic appendectomy and fistula repair. Vesico-appendiceal fistula is an uncommon type of vesico-enteral fistula and a rare complication of unrecognized appendicitis. Additionally, this report showed the significant value of laparoscopy as a diagnostic and therapeutic tool to this entity.

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Section: Discussionmentioning

confidence: 99%

Vesico-Appendiceal Fistula Misdiagnosed as Meckel's Diverticulum: A Laparoscopic Approach

Lee

Ahn

2012

World J Mens Health

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“…99m-Tc-MDP can be observed in the intestines in 1% of bone scans with a prominent localization in the ascending colon; rarely, it appears all over the intestines ( 1 ). Intense bowel accumulation of bone-seeking agents can be seen in cases of occult gastric bleeding ( 2 ), intestinal infarction ( 3 ), enterovesical fistula ( 4 ), urinary diversion surgical procedure ( 5 ), protein-losing enteropathy ( 6 ), primary intestinal lymphangiectasia ( 7 ), systemic AL amyloidosis ( 8 ), and uptake in normal intestine in children. In children, the radiotracer accumulated in the cecum is presumably secondary to concentration via water absorption.…”

Section: Discussionmentioning

confidence: 99%

Focal small-bowel localization of bone-imaging radiopharmaceutical in a child

Franco¹,

Sanders²

2012

Radiology Case Reports

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Bone scintigraphy is an important diagnostic tool in the evaluation of skeletal pathologic conditions. However, the extraskeletal uptake of bone-seeking radiotracers is still an unexpected finding in most cases. We present a 5-year-old male with an unexpected focal accumulation of the radiotracer in the small bowel. Bowel accumulation of bone-seeking radiopharmaceuticals has been seen previously in children in the colon and mainly in the cecum, but not in the small bowel. The mechanism for such accumulation is not completely clear and may be explained by focal histological disturbances of a small-bowel segment that contributed to excretion of the radiotracer from the blood-to-bowel lumen.

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“…It has been reported that it usually took at least 1 year from the onset of symptom to confirmatory diagnosis. Unfortunately, it may be delayed for more than 10 years 4. Many diagnostic tools, such as intravenous pyelography (IVP), cystoscopy, barium enema, cystogram, and computed tomography (CT) scans, have been used for detecting an appendicovesical fistula.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Appendicovesical Fistula

et al. 2010

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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.

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Serendipitous Diagnosis of Appendicovesical Fistula by Bone Scan: A Case Report

Cited by 10 publications

References 6 publications

Vesico-Appendiceal Fistula Misdiagnosed as Meckel's Diverticulum: A Laparoscopic Approach

Vesico-Appendiceal Fistula Misdiagnosed as Meckel's Diverticulum: A Laparoscopic Approach

Focal small-bowel localization of bone-imaging radiopharmaceutical in a child

Laparoscopic Treatment of Appendicovesical Fistula

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