{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T17:49:24Z","timestamp":1762624164839},"reference-count":5,"publisher":"Royal College of Surgeons of England","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p> A 52-year-old man was admitted with diarrhoea and faecaluria and referred recurrent urinary tract infections for over 20 years. He also reported a two-week hospital admission more than 20 years ago for right iliac fossa pain, which was managed conservatively. Computed tomography showed a fistulous tract extending from the bladder with an unclear connection to the bowel. Cystoscopy confirmed the presence of a vesical fistula and biopsy of the tract confirmed colonic mucosa. Flexible sigmoidoscopy was negative. A cystogram was requested as an outpatient procedure and the patient was discharged after antibiotic treatment. <\/jats:p><jats:p> A few days after discharge the patient was readmitted as an emergency to critical care for severe hyperchloraemic hypokalaemic acidosis and a Glasgow Coma Score of 6\/15. He was intubated and ventilated and his metabolic derangement was treated. As soon as his conditions improved, he underwent emergency laparotomy, which revealed the presence of a fistula between the caecal fundus and the bladder. The fistula was repaired and the patient recovered swiftly and completely and was discharged on postoperative day 5. At 12-month follow up the patient was completely symptoms-free, his bowel habits were normal and he has not had any urinary infection. <\/jats:p><jats:p> Appendicovesical fistula is a rare and potentially lethal condition due to its metabolic consequences. Past history of right iliac fossa pain treated conservatively, diarrhoea and recurrent urinary tract infection must raise suspicion. <\/jats:p>","DOI":"10.1308\/rcsann.2019.0047","type":"journal-article","created":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T10:16:07Z","timestamp":1559556967000},"page":"e131-e132","source":"Crossref","is-referenced-by-count":5,"title":["Appendicovesical fistula presenting as hypokalaemic hyperchloraemic metabolic acidosis: a case report"],"prefix":"10.1308","volume":"101","author":[{"given":"S","family":"Keane","sequence":"first","affiliation":[{"name":"East Kent Hospitals University NHS Foundation Trust, William Harvey Hospital, Ashford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GD","family":"Tebala","sequence":"additional","affiliation":[{"name":"East Kent Hospitals University NHS Foundation Trust, William Harvey Hospital, Ashford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"issue":"205","key":"bib1","first-page":"7","author":"Rainauli Z","year":"2012","journal-title":"Georgian Med News"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1980.tb08916.x"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0000000000000404"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)37517-1"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1089\/cren.2016.0063"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2019.0047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:14:01Z","timestamp":1684145641000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2019.0047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1308\/rcsann.2019.0047"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2019.0047","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}