Open AccessImages – Appendico-vesical fistula
Author(s) -
Edem Afenu,
Shaun Trecarten,
Sarah Neu,
Jennifer A. Locke,
Sender Herschorn
Publication year - 2022
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.7619
Subject(s) - medicine , fistula , gastrointestinal tract , acute appendicitis , surgery , appendicitis , appendix , medical history , sepsis , urinary system , radiology , general surgery , paleontology , biology
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.1Herein, 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.