Rofo 2020; 192(08): 778-779
DOI: 10.1055/a-1138-8660
The Interesting Case

Diagnosis of a vesico-appendicular fistula caused by appendiceal adenocarcinoma using MRI – a case report

Michael Zellner
1  Radiology, Klinikum Wels-Grieskirchen GmbH, Wels, Austria
,
Georg Hoedl
1  Radiology, Klinikum Wels-Grieskirchen GmbH, Wels, Austria
,
Gabriele Raffler
2  ER, Klinikum Wels-Grieskirchen GmbH, Wels, Austria
,
Herbert Lugmayr
1  Radiology, Klinikum Wels-Grieskirchen GmbH, Wels, Austria
› Author Affiliations

Introduction

A vesico-appendicular fistula (VAF) is a rare condition. The precise incidence is unknown and approximately 5 % of vesico-intestinal fistulas are VAFs.

Appendix neoplasms are very rare entities in the digestive system and are found in only 0.9–1.4 % of appendectomy specimens. VAFs usually occur following appendicitis, Crohn’s disease, radiation enteritis and are rarely associated with papillovillous adenoma or adenocarcinoma of the appendix [Alis D, Samanci C, Namdar Y et al. A Very Rare Complication of Acute Appendicitis: Appendicovesical Fistula. Case Rep Urol 2016].

We report a case of a 77-year-old woman with ongoing pain due to recurrent urinary tract infections. The final diagnosis of a VAF was made with MRI and confirmed after an appendectomy, ileocecal resection and a repair of the bladder wall.



Publication History

Publication Date:
29 April 2020 (online)

© Georg Thieme Verlag KG
Stuttgart · New York