PMC4996613_01
(a) Cystoscopic image of appendicovesical fistula (AVF) in right lateral wall of the bladder dome. (b) Contrast agent near the right side of the bladder in voiding cystography. (c) Detected a fistula tract between the distal end of the appendix and right lateral wall of the bladder dome in CT scan.
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Free air images in bladder and increased bladder wall thickness were also detected (Fig. 1c).
(a-d) The images of robot-assisted laparoscopic AVF repair.
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After docking the robot, cecum and appendix were found in a mass attached to the anterior wall of the abdomen (Fig. 2a). Triangle Park, NC) and sutured with 2-0 Vicryl (Fig. 2d). The fistula tract was excised and removed from the assistant trocar.