Appendico-vesicocolonic fistula:A case report and review of literature

作     者：Han Yan Ying-Chao Wu Xin Wang Yu-Cun Liu Shuai Zuo Peng-Yuan Wang 

作者机构：Department of General SurgeryPeking University First HospitalBeijing 100032China 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第10期

页      面：3241-3250页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Appendico-vesicocolonic Appendiceal-colonic Enterovesical Fistula Laparoscopic surgery Case report 

摘      要：BACKGROUND Appendico-vesicocolonic fistulas and appendiceal-colonic fistulas are two kinds of intestinal and bladder diseases that are rarely seen in the *** our knowledge,no more than 4 cases of appendico-vesicocolonic fistulas have been publicly reported throughout the world,and no more than 100 cases of appendiceal-colonic fistulas have been *** the overall incidence is low,an early diagnosis is difficult due to their atypical initial symptoms,but these diseases still require our *** SUMMARY Here,we report a case of a 77-year-old male patient diagnosed with an appendico-vesicocolonic fistula combined with an appendiceal-colonic *** main manifestations were diarrhea and urine that contained fecal *** diagnosis was confirmed by multiple laboratory and imaging examinations.A routine urinalysis showed red blood cells and white blood *** and pelvic computed tomography scans showed close adhesions between the bowels and the bladder,and fistulas could be *** and cystoscopy and some other imaging examinations clearly showed *** preoperative diagnoses were a colovesical fistula and an appendiceal-colonic *** fistulas were repaired by laparoscopic surgical *** diseased bowel and part of the bladder wall were removed,followed by a protective *** postoperative diagnosis was an appendico-vesicocolonic fistula combined with an appendiceal-colonic fistula,and the pathology suggested inflammatory *** patient recovered well after surgery,and all his symptoms *** The final diagnosis in this case was a double fistula consisting of an appendicovesicocolonic fistula combined with an appendiceal-colonic fistula.