Cecovesical fistula of inflammatory origin simulating neoplasm of the cecum

We describe a case of a caecovesical fistula in a 60-year-old woman caused by an inflammatory tumour of a probably appendicular origin which mimicked cancer of the caecum. The patient, had a history of idiopathic peripheral polineuropathy and chronic constipation. Presented urinary tract infection a...

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Bibliographic Details
Published in:	Revista española de enfermedades digestivas Vol. 84; no. 3; p. 200
Main Authors:	Parajó Calvo, A, Sogo Manzano, C, Valbuena Ruvira, L, Acea Nebril, B, Aguirrezabalaga González, J, Gómez Rodríguez, D, Gómez Freijoso, C
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-09-1993
Subjects:	Aged Cecal Diseases - diagnosis Cecal Diseases - etiology Cecal Neoplasms - diagnosis Cystitis - complications Diagnosis, Differential Female Humans Intestinal Fistula - diagnosis Intestinal Fistula - etiology Urinary Bladder Fistula - diagnosis Urinary Bladder Fistula - etiology
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Summary:	We describe a case of a caecovesical fistula in a 60-year-old woman caused by an inflammatory tumour of a probably appendicular origin which mimicked cancer of the caecum. The patient, had a history of idiopathic peripheral polineuropathy and chronic constipation. Presented urinary tract infection and fecaluria, without symptoms of appendicitis. At operation, a solid mass including the caecum and the fundus of the bladder was found, and the appendix was not identified. In view of the neoplastic appearance and the impossibility of separating the caecum from the bladder, "en bloc" right hemicolectomy and partial cystectomy were performed. The pathologic study showed the inflammatory nature of the lesion.
ISSN:	1130-0108