Rectovesical fistula; a rare complications of appendicitis

Rectovesical fistula is a rare complication of undiagnosed acute appendicitis. This fistula often presents recurrent symptomatic Urinary Tract Infection (UTI). A case of Rectovesical fistula in a 41-year-old male diabetic patient is described. A perforated appendicitis caused the connection between the base of the bladder and the rectum. There was no appendicovesical fistula connecting with the caecum. In this case a primary resection of the involved rectum was done, the fistula tract excised and simple closure of the bladder and appendectomy was performed.