Erik D. Álvarez-Sores, Servicio de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México
Leonardo Barba-Valadez, Servicio de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México
César A. Martínez-Ortiz, Servicio de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México
Adolfo Cuendis-Velazquez, Servicio de Cirugía General y Endoscópica, Hospital General Dr. Manuel Gea González, Ciudad de México, México
Misdiagnosis and delay in the treatment of acute appendicitis increases the risk of complications secondary to visceral perforation. Appendicular rupture into the bladder is an uncommon complication, but possibly to happen; treatment generally consists of a laparotomy with appendectomy and repair of the bladder wall. The laparoscopic approach is a viable option in cases of complicated appendicitis, even in complex and infrequent clinical scenarios. The aim of this paper is to describe a case of complicated appendicitis with bladder perforation, treated with a laparoscopic right hemicolectomy, terminal ileostomy and closure of the urinary bladder wall.
Keywords: Appendicitis. Bladder perforation. Laparoscopy. Appendicovesical fistula.