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PERSISTENT APPENDICEAL-SIGMOID FISTULA

PERSISTENT APPENDICEAL-SIGMOID FISTULA 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

PERSISTENT APPENDICEAL-SIGMOID FISTULA

A.M.A. Archives Surgery , Volume 69 (1) – Jul 1, 1954

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Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1954.01270010134021
Publisher site
See Article on Publisher Site

Abstract

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

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jul 1, 1954

References