Uretero-appendicular fistula

Magadum, Sunil; Kurane, Chandrahas; Ingty, Moses; Mulla, Wassim

doi:10.4103/0975-2870.148867

Cited by 1 publication

(8 citation statements)

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“…Uretero-intestinal fistulas are uncommon, [1,2] and can involve most of the gastrointestinal tract, including duodenum, jejunum, ileum, and colon [2]. Of those, uretero-appendicular fistulas are extremely rare [1,2].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Of those, uretero-appendicular fistulas are extremely rare [1,2]. A review of literature showed six published cases [1][2][3][4][5][6], and only one of them involved a pediatric patient [3]. The reported causes of ureteroappendicular fistula include appendicitis, [1,2] complicated radical hysterectomy, [5] lymphoblastic leukemia, [3] periureteritis associated with ureteric calculi [4] and a retained foreign object [6].…”

Section: Discussionmentioning

confidence: 99%

“…A review of literature showed six published cases [1][2][3][4][5][6], and only one of them involved a pediatric patient [3]. The reported causes of ureteroappendicular fistula include appendicitis, [1,2] complicated radical hysterectomy, [5] lymphoblastic leukemia, [3] periureteritis associated with ureteric calculi [4] and a retained foreign object [6]. The most common symptoms associated with this entity involve right flank pain, right lower quadrant tenderness, fecaluria, recurrent UTIs, diarrhea and leakage of urine from the anus [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…The reported etiologies include appendicitis, complicated radical hysterectomy, lymphoblastic leukemia, calculi and foreign objects [1][2][3][4][5][6]. The diagnosis is seldom considered pre-operatively, thus it is usually detected intraoperatively in an unexpected fashion.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Uretero-appendicular fistula: A rare case mimicking ureterolithiasis in a child

Galvis-Angulo¹,

Rueda-Quijano²,

Pinto-Briceño³

et al. 2018

j-pucr

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A B S T R A C TUretero-appendicular fistulas represents a rare entity, closely related to appendicitis and are usually encountered intraoperatively. A literature review showed six published cases -only one of them involving a pediatric patient. We describe the case of a ten year-old girl with history of recurrent urinary tract infections (UTIs) since the age of three. Following a six-year asymptomatic period, she was referred for evaluation after a new diagnosis of UTI complicated by a right distal ureteral stone. The patient underwent ureteroscopy and laser stone fragmentation. During the endoscopic procedure a mature, well-epithelialized ureteral tract to the peritoneal cavity was encountered. The procedure was converted to open exploration through a right Gibson incision, where an appendicular phlegmon associated with an uretero-appendicular fistula with passing of faecoliths to the ureteral lumen was found. An appendectomy was performed along with primary fistula closure. Uretero-appendicular fistulas represent a rare entity. Our case highlights the relation between this type of fistula with appendicitis, its unexpected intraoperative diagnosis and the unusual presentation, as the patient did not present clinical findings compatible with acute abdomen.

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