Access the full text.
Sign up today, get DeepDyve free for 14 days.
Abstract DESPITE the frequency of acute appendicitis, persistence of a patent fistula between the appendix and another viscus is rare. Recently, a fistula between appendix and sigmoid colon, which had been present for many years, was resected. In this instance, preoperative barium enema diagnosis permitted proper preparation and surgical removal of the fistula. Recognition of the patent tract, particularly at operation for acute appendicitis, would probably have been difficult and might have led to postoperative complications. It therefore appears desirable to report this lesion. Similar instances of fistula between appendix and other viscera have been reported. These include two cases of appendiceal fistula opening into ileum,4 and one each between appendix and Meckel's diverticulum,2 and appendix and ascending colon.3 In each there was history indicative of acute appendicitis previously. Garcia reported an appendiceal-ileal fistula,1 without history indicating previous appendicitis. The muscle layer of the appendix and ileum References 1. Garcia, D. A.: Congenital Anastomosis of the Appendix with the Ileum: Report of a Case , J. Philippine M. A. 20:725, 1940. 2. Gile, J. F., and MacCarty, W. C.: Calcified Concretion Within a Meckel's Diverticulum , Radiology 41:491, 1943.Crossref 3. River, L. P. and Gradinger, B. C.: Appendiculo-Colic Fistula: Case Report , Am. J. Surg. 61:297, 1943.Crossref 4. Shallow, T. A.; Eger, S. A., and Knowles, H. J.: Appendico-Ileal Fistula , Am. J. Surg. 71:423, 1946.Crossref
A.M.A. Archives Surgery – American Medical Association
Published: Jul 1, 1954
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.