Author/Authors :
Golfam, F Mostafa Khomeyni Hospital - Shahed University - Tehran, Iran , Forootan, S.K Mostafa Khomeyni Hospital - Shahed University - Tehran, Iran , Khalaj, A. R. Mostafa Khomeyni Hospital - Shahed University - Tehran, Iran , Sayedmortaz, S. S. Mostafa Khomeyni Hospital - Shahed University - Tehran, Iran , Golfam, P Department of Anesthesiology - Kermanshah University of Medical Sciences - Kermanshah, Iran
Abstract :
Appendicovesical fistula is an uncommon type of enterovesical fistula and a rare
complication of unrecognized appendicitis. Appendicovesical fistula often presents with recurrent or
persistent urinary tract infection, especially in men. The commonest causes are appendicitis, cecal
diverticulitis, and cystadenocarcinoma or carcinoid tumors of appendix. Approximately 114 cases have
been reported previously in the literature, the vast majority in young male patients. Our special case
joins the other cases which have already been described in the international literature. This case is a
middle-aged man and is the first who has large and multiple fecaliths. We reviewed other cases and
contributed an additional one with hope that increased awareness of this entity may facilitate the correct
diagnosis and avoid inappropriate management