Colovesical Fistula due to Sigmoid Diverticulitis
Introduction. The incidence of colonic diverticulosis has risen significantly. Diverticular disease is the most frequent cause of colovesical fistulas, which are uncommon complications of diverticulitis. Clinical signs, such as fecaluria and pneumaturia, are typically required to confirm its presenc...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2023/8835222 |
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| author | Christos K. Stefanou Spiridon Gkogkos Stefanos Flindris Apostolis K. Paxinos Thomas Tsiantis Polyxeni Oikonomou Kostas Tepelenis Stefanos K. Stefanou |
| author_facet | Christos K. Stefanou Spiridon Gkogkos Stefanos Flindris Apostolis K. Paxinos Thomas Tsiantis Polyxeni Oikonomou Kostas Tepelenis Stefanos K. Stefanou |
| author_sort | Christos K. Stefanou |
| collection | DOAJ |
| description | Introduction. The incidence of colonic diverticulosis has risen significantly. Diverticular disease is the most frequent cause of colovesical fistulas, which are uncommon complications of diverticulitis. Clinical signs, such as fecaluria and pneumaturia, are typically required to confirm its presence. Finding the cause of the disease so that the proper therapy can be started is the primary goal of a diagnostic workup rather than observing the fistula tract itself. Case Presentation. We present a 43-year-old man complaining of frequent urinary tract infections for six months. On CT abdomen and pelvis, a colovesical fistula was diagnosed. Surgery was performed, and after the division between the sigmoid colon and the bladder, a sigmoidectomy and an end-to-end colorectal anastomosis were performed. During the surgery, the fistula tract was not detected. The patient was discharged in excellent condition on day six, and the catheter was removed on day 10. Conclusion. In conclusion, as in our case, any patient with a urinary tract infection should be suspected of having this condition, especially if he has persistent symptoms that have not responded to standard medical care. Patients who present with fecaluria, pneumaturia, and other specific symptoms of a colovesicular fistula do not necessarily need a barium enema or cystography to confirm the presence of the fistula. |
| format | Article |
| id | doaj-art-f130caa381f2462c9bfe833dfd93b110 |
| institution | Kabale University |
| issn | 2090-6919 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-f130caa381f2462c9bfe833dfd93b1102025-02-03T06:42:47ZengWileyCase Reports in Surgery2090-69192023-01-01202310.1155/2023/8835222Colovesical Fistula due to Sigmoid DiverticulitisChristos K. Stefanou0Spiridon Gkogkos1Stefanos Flindris2Apostolis K. Paxinos3Thomas Tsiantis4Polyxeni Oikonomou5Kostas Tepelenis6Stefanos K. Stefanou7Department of SurgeryDepartment of SurgeryDepartment of Obstetrics and GynecologyDepartment of UrologyDepartment of Obstetrics and GynecologyDepartment of CardiologyDepartment of SurgeryDepartment of Endocrine SurgeryIntroduction. The incidence of colonic diverticulosis has risen significantly. Diverticular disease is the most frequent cause of colovesical fistulas, which are uncommon complications of diverticulitis. Clinical signs, such as fecaluria and pneumaturia, are typically required to confirm its presence. Finding the cause of the disease so that the proper therapy can be started is the primary goal of a diagnostic workup rather than observing the fistula tract itself. Case Presentation. We present a 43-year-old man complaining of frequent urinary tract infections for six months. On CT abdomen and pelvis, a colovesical fistula was diagnosed. Surgery was performed, and after the division between the sigmoid colon and the bladder, a sigmoidectomy and an end-to-end colorectal anastomosis were performed. During the surgery, the fistula tract was not detected. The patient was discharged in excellent condition on day six, and the catheter was removed on day 10. Conclusion. In conclusion, as in our case, any patient with a urinary tract infection should be suspected of having this condition, especially if he has persistent symptoms that have not responded to standard medical care. Patients who present with fecaluria, pneumaturia, and other specific symptoms of a colovesicular fistula do not necessarily need a barium enema or cystography to confirm the presence of the fistula.http://dx.doi.org/10.1155/2023/8835222 |
| spellingShingle | Christos K. Stefanou Spiridon Gkogkos Stefanos Flindris Apostolis K. Paxinos Thomas Tsiantis Polyxeni Oikonomou Kostas Tepelenis Stefanos K. Stefanou Colovesical Fistula due to Sigmoid Diverticulitis Case Reports in Surgery |
| title | Colovesical Fistula due to Sigmoid Diverticulitis |
| title_full | Colovesical Fistula due to Sigmoid Diverticulitis |
| title_fullStr | Colovesical Fistula due to Sigmoid Diverticulitis |
| title_full_unstemmed | Colovesical Fistula due to Sigmoid Diverticulitis |
| title_short | Colovesical Fistula due to Sigmoid Diverticulitis |
| title_sort | colovesical fistula due to sigmoid diverticulitis |
| url | http://dx.doi.org/10.1155/2023/8835222 |
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