Uretero-appendicular fistula: A rare case mimicking ureterolithiasis in a child
Journal Title: Pediatric Urology Case Reports - Year 2018, Vol 5, Issue 3
Abstract
Uretero-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.
Authors and Affiliations
Julian O. Galvis-Angulo, Sandra Milena Rueda-Quijano, Natalie Estefania Pinto-Briceño, Angie Lucía Méndez-Zaraza, Bernardo Santamaría-Fuerte, Armando J. Lorenzo, Victor H. Figueroa
Keywords
Related Articles
- EP ID EP498288
- DOI 10.14534/j-pucr.2018338706
- Views 68
- Downloads 0
Fetal rhabdomyomatous nephroblastoma -a variant of Wilms tumor: A case report and review of the literature
Fetal rhabdomyomatous nephroblastoma is a weird variant of Wilms tumor. It’s a chemo-resistant tumor, characterized for invading the collecting system, and having greater rates of bilateral involvement. The tumor chiefly...
Evaluation of genital condyloma accuminata seen during pediatric age as for sexual abuse: Case report
Anogenital wart is the most frequently seen during sexually transmitted disease in sexually active adults caused by Human Papillomavirus. The transmission with sexual contact has been defined for anogenital warts which e...
Paraurethral cysts in two female infants: When opting for surgical procedure
Paraurethral cysts (PC) or Skene’s duct cysts are rare cause urogenital masse in females, particularly in newborn or infant. It arise from obstruction of Skene’s ducts and diagnosis is usually easy by physical examinatio...
Superior vesical fissure in a case of prune belly syndrome with infravesical obstruction: Beneficial pop-off with a fatal congenital anomaly
A wide spectrum of renal, ureteral, and urethral abnormalities has been reported in a patient born with Prune belly syndrome (PBS). The obstruction in the urinary tract can be found anywhere from uppermost (pelviureteral...
Spontaneous resolution of urinary calculi in a congenital solitary kidney: A case report
Spontaneous resolution of a large renal stone burden in adults is a rare occurrence with few reports in the last 50 years. Improved imaging techniques and understanding of the pharmacology of dissolution therapy have led...