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May 1976

Appendicovesical Fistula in Childhood: A Rare Complication of Ruptured Appendix

Author Affiliations

From the Children's Hospital of Philadelphia (Dr Rizen), the Department of Surgery, US Naval Hospital, Millington, Tenn (Dr Itzig), and the LeBonheur Children's Hospital, Memphis (Dr Quinn).

Am J Dis Child. 1976;130(5):530-531. doi:10.1001/archpedi.1976.02120060076014

• The diagnosis of appendicovesical fistula is difficult and usually delayed. This is most unfortunate, since surgery is uniformly successful. The case we report reemphasizes the diagnostic value of the rectal examination, intravenous pyelogram, and voiding cystogram in a child with subacute or chronic abdominal pain. Only an awareness of this condition on the part of the attending physician will lead to prompt diagnosis and definitive therapy.

(Am J Dis Child 130:530-531, 1976)

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