Non-typical Symptomatic Appendico-Vesical Fistula

Abstract

Appendico-vesical fistula (AVF) is rare and occurs secondary to acute or missed acute appendicitis. Early diagnosis of AVF is difficult because the symptoms are ambiguous. The underlying pathology in most cases is acute suppurative appendicitis [1]. We present a case that spontaneously developed non-typical symptomatic AVF after a history of treatment with antibiotics after suspected acute appendicular colic pain 7 years earlier.