A Case of Vesicoappendiceal Fistula / 대한비뇨기과학회지

ABSTRACT

A 32 year-old male patient was admitted to Korea University Hospital on July 30. 1980 with complaints of terminal hematuria, pain on urination and frequent urination for 3 months duration. Four months prior to admission this patient had an episode of fever and pain in the right lower quadrant of the abdomen. Urinalysis revealed microscopic hematuria and pyuria. Urine culture yielded E. coli. Cystoscopy showed the presence of small papular masses and vesicles over the upper lateral area to the right ureteral orifice. On operation a fistula was found between the bladder and appendix with heavy adhesion. In the area of adhesion, fecal material was noted, Patient underwent debridement of adhesive tissue, partial cystectomy and appendectomy and the postoperative course was uneventful.