Fang Zheng, Sun Yi, Wang Zhongxu, Yan Xiangming, Zhang Ting, Cao Xu, Wang Tianyi, Wang Hongchao, Liu Jun, Feng Ting, Dai Shu
Department of Urology, Children's Hospital of Soochow University, Suzhou, China.
Department of Ultrasound, Children's Hospital of Soochow University, Suzhou, China.
Front Pediatr. 2025 Aug 5;13:1610586. doi: 10.3389/fped.2025.1610586. eCollection 2025.
Appendicovesical fistula (AVF) is a rare condition that occurs in children characterized by an abnormal communication between the appendix and the bladder, caused by diseases such as inflammation or malignancy. Due to the lack of specific clinical symptoms and the difficulty in confirming the diagnosis with traditional imaging examinations such as ultrasound and CT, the disease often has a protracted course. This paper reports a case of a pediatric case of AVF presenting with dysuria, urinary frequency, and diarrhea. The diagnosis was confirmed by contrast-enhanced ultrasound (CEUS), and the patient successfully underwent robot-assisted laparoscopic partial cystectomy and appendectomy without postoperative complications. This case demonstrates an innovative application of CEUS combined with robot-assisted laparoscopic surgery for the diagnosis and treatment of a pediatric case of AVF. In addition, we conducted a literature review on AVF in children.
阑尾膀胱瘘（AVF）是一种罕见的儿科疾病，其特征为阑尾与膀胱之间存在异常连通，由炎症或恶性肿瘤等疾病引起。由于缺乏特异性临床症状，且难以通过超声和CT等传统影像学检查确诊，该病病程往往迁延。本文报告1例以排尿困难、尿频和腹泻为表现的儿科AVF病例。通过超声造影（CEUS）确诊，患者成功接受了机器人辅助腹腔镜部分膀胱切除术和阑尾切除术，术后无并发症。该病例展示了CEUS联合机器人辅助腹腔镜手术在儿科AVF诊断和治疗中的创新性应用。此外，我们还对儿童AVF进行了文献综述。
