CASE REPORT article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1610586
Robot-assisted laparoscopic treatment of appendicovesical fistula in a child: A case report and literature review
Provisionally accepted
Fang Zheng1
Sun Yi1
Wang Zhongxu1Yan Xiangming1Zhang Ting1Cao Xu1
Tianyi Wang1Wang Hongchao1Liu Jun1Feng Ting2
Dai Shu1*- 1Department of Urology, Children's Hospital of Soochow University, Suzhou, China
- 2Department of Ultrasound, Children's Hospital of Soochow University, Suzhou, Liaoning Province, China
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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.
Keywords: pediatric, Appendicovesical fistula, Robot-assisted laparoscopic surgery, contrast-enhanced ultrasound, case report
Received: 12 Apr 2025; Accepted: 22 Jul 2025.
Copyright: © 2025 Zheng, Yi, Zhongxu, Xiangming, Ting, Xu, Wang, Hongchao, Jun, Ting and Shu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Dai Shu, Department of Urology, Children's Hospital of Soochow University, Suzhou, China
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