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Case Reports

Appendico-Vesical Fistula and Persistent Urachus in a Patient with Hematuria

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Pages 75-76 | Received 17 Jul 1979, Published online: 15 Feb 2010
 

Abstract

A 35-year-old man had been treated with sulfamethizol on 6 occasions because of recurrent urinary tract infections. Furthermore, he had experienced diffuse monosymptomatic hematuria for 15 years. Cystoscopy and biopsy demonstrated irregular intestinal mucosa. Physical examination and intravenous urography were normal. Preoperative diagnosis was urachus-derived adenoma with the possibility of adenocarcinoma. At operation a typical urachus and—surprisingly—an appendico-vesical fistula were found.

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