Annals of Coloproctology

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Case Report

Benign bowel disease

A fecalith mimicking a bladder calculus secondary to an appendicovesical fistula: a case report: Mauricio Gonzalez-Urquijo, Andrea Romero-Davila, MaryCarmen Mendoza-Silva, Antonio Nassim Halun Treviño, Mario Rodarte-Shade, Gerardo Gil-Galindo; Ann Coloproctol. 2023;39(4):362-365. Published online July 21, 2021; DOI: https://doi.org/10.3393/ac.2020.00311.0044

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An appendicovesical fistula is defined as an abnormal communication between the appendix and the urinary bladder, with only a few cases reported in the literature. It is very challenging to make an early diagnosis, due to the inability of conventional imaging modalities to detect this unique pathology. The symptoms are often mild, and there are not any specific signs or symptoms that might suggest this type of anomalous communication. We report a case of a 27-year-old male patient who presented difficulty for initiating urination, dysuria, and persistent urinary tract infections. An abdominal x-ray showed a large calculus inside the bladder. A cystoscopy was performed, where the tip of the appendix was seen protruding inside the bladder with a large fecalith adhered to the bladder wall. An appendectomy and partial cystectomy with primary repair were auspiciously achieved. A review of the literature is also presented.

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Delayed diagnosis of appendicovesical fistula following orchidectomy for testicular abscess: a case report
Ahmad Farid Nazmi Ahmad Shukri, M. Azem Fathi Mohammad Azmi, Maya Mazuwin Yahya, Muhd Yusairi Kamarulzaman, Nil Amri Mohamed Kamil
International Surgery Journal.2026; 13(9): 1736. CrossRef

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