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J Urol. 1989 Sep;142(3):815-6.

Serendipitous diagnosis of appendicovesical fistula by bone scan: a case report.

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Department of Urology, Vanderbilt University School of Medicine, Nashville, Tennessee.


A 71-year-old patient had recurrent urinary tract infections for 7 years after sigmoid colectomy via a Hartmann procedure. Extensive radiological and endoscopic tests were inconclusive as to the cause of bacteriuria. Chronic back pain led to performance of a radionuclide bone scan with the incidental demonstration of a vesicoenteric fistula, confirmed at exploration. Appendectomy with resection of the involved bladder resulted in cessation of bacteriuria.

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