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Air in the urine: a mystified patient and a concerned surgeon
  1. Samarth Agarwal1,
  2. Ashish Sharma1,
  3. Ajay Aggarwal1 and
  4. Satyanarayan Sankhwar2
  1. 1 Department of Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  2. 2 Department of Urology, CSM Medical University (Upgraded KGMC), Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Samarth Agarwal, rebellite{at}


Appendicovesical fistula is a rare type of enterovesical and a very rare complication of acute appendicitis. Herein, we report a case of a 22-year-old man who presented with cloudy urine and pneumaturia with a prior history of acute appendicitis. Imaging techniques including ultrasonography, CT and cystoscopy were performed to diagnose the abnormality. Diagnosis of this fistula is challenging and relies on detailed history and radiological imaging.

  • urology
  • urological surgery
  • general surgery

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  • Contributors SA: concept, design, supervision, processing, writing manuscript and critical analysis. AS: concept, design, supervision, processing, writing manuscript. AA: concept, critical analysis. SS: writing manuscript, critical analysis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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