Abstract
We present 15 cases of acute appendicitis in ten boys and five girls (age 3–15 years) with cardinal symptomatology coming from the urogenital tract, who were treated in our departments. All the patients presented with right renal colic, dysuria, frequency and urinary retention. The symptoms were attributed to an ongoing appendix inflammatory process in close proximity to the right distal ureter and urinary bladder. All the patients were successfully operated, and postoperative courses were uneventful. As the present patient group is the largest reported to date, a classification of the pathophysiology in relation to the clinical presentation is proposed.
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Anderson KD, Parry RL. Appendicitis. In: O'Neill JA, Rowe MI, Grosfeld JL, Fonkalsrund EW, Coran AG, eds, Pediatric Surgery. St. Louis: Mosby Co., 1998.
Athanasopoulos A, Speakman MJ. Appendicovesical fistula. Int Urol Nephrol 1995; 27: 705–708.
Boleslawski E, Panis Y, Benoist S et al. Plain abdominal radiography as a routine procedure for acute abdominal pain of the right lower quadrant: Prospective evaluation. World J Surg 1999; 23: 262.
Gaensler EH, Jeffrey RB Jr, Laing FC, Townsend RR. Sonography in patients with suspected acute appendicitis: Value in establishing alternative diagnoses. Am J Roentgenol 1989; 152: 49.
Golladay ES, Sarrett JR. Delayed diagnosis in pediatric appendicitis.South Med J 1988; 81: 38.
Gray SW, Skandalakis JE. The colon and rectum. In: Gray SW, Skandalakis JE, eds, Embryology for Surgeons. W.B. Saunders Co., 1972.
Haas GP, Shumaker BP, Haas PA. Appendicovesical fistula. Urology 1984; 24: 604–609.
Jones WG, Barie PS. Urological manifestations of acute appendicitis. J Urol 1988; 139: 1325.
Lowe LH, Perez R Jr, Scheker LE et al. Appendicitis and alternate diagnoses in children: Findings on unenhanced limited helical CT. Pediatr Radiol 2002; 131: 519–577.
O'Donnell, Surana R. Acute abdominal pain. In: Atwell JD, ed, Paediatric Surgery. Arnold Co., 1998.
Preece JM, Beverley DW. Acute urinary retention: An unusual presentation of actue appendicitis in a 3 year old boy. Arch Dis Child 2001; 84: 269.
Reynolds SL. Missed appendicitis in a pediatric emergency department. Pediatr Emerg Care 1993; 9: 1.
Scott JH, Amin M, Harty JL. Abnormal urinalysis in appendicitis. J Urol 1983; 129: 1015.
Stuart RG, Venable DD, Gonzales E, Barr L. Ureteral obstruction associated with abdominal mass. J. Urol 1982; 128: 1009.
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Gardikis, S., Touloupidis, S., Dimitriadis, G. et al. Urological symptoms of acute appendicitis in childhood and early adolescence. Int Urol Nephrol 34, 189–192 (2002). https://doi.org/10.1023/A:1023226631364
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DOI: https://doi.org/10.1023/A:1023226631364