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[Laparoscopic therapy of appendicovesical fistula -- two case reports].

Authors
  • Albrecht, K
  • Schumann, R
  • Peitgen, K
  • Walz, M K
Type
Published Article
Journal
Zentralblatt für Chirurgie
Publication Date
Oct 01, 2004
Volume
129
Issue
5
Pages
396–398
Identifiers
PMID: 15486792
Source
Medline
License
Unknown

Abstract

Two cases of appendicovesical fistula are reported. One case was caused by Crohn's disease, the second case by a chronical appendicitis. The guiding symptoms in both cases were coprosuria and pneumaturia, with chronical infection of the urinary tract. No diagnostic imaging method was able to detect the fistula. The correct diagnosis was finally made by laparoscopy followed by laparoscopical appendicectomy and fistula closure. The clinical symptoms alone seem to be sufficient for indication to operate. Thus, an early laparoscopic operation significantly can shorten the length of disease.

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