A Case of Colovesical Fistula Induced by Sigmoid Diverticulitis
Journal of the Korean Society of Coloproctology
;
: 94-98, 2011.
Artículo
en Inglés
| WPRIM
| ID: wpr-78679
ABSTRACT
Colonic diverticulosis has continuously increased, noticeably left-sided diseases, in Korea. A colovesical fistula is an uncommon complication of diverticulitis, and its most common cause is diverticular disease. Confirmation of its presence generally depends on clinical findings, such as pneumaturia and fecaluria. The primary aim of a diagnostic workup is not to observe the fistular tract itself but to find the etiology of the disease so that an appropriate therapy can be initiated. We present here the case of a 79-year-old man complaining of pneumaturia and fecaluria. On abdomen and pelvis CT, the patient was diagnosed as having a colovesical fistula due to sigmoid diverticulitis. After division of the adhesion between the sigmoid colon and the bladder, the defect of the bladder wall was repaired by simple closure. The colonic defect was treated with a segmental resection, including the rectosigmoid junction. The patient is doing well at 6 months after the operation and shows no evidence of recurrence of the fistula.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pelvis
/
Recurrencia
/
Colon Sigmoide
/
Vejiga Urinaria
/
Fístula Intestinal
/
Colon
/
Diverticulosis del Colon
/
Diverticulitis
/
Diverticulitis del Colon
/
Abdomen
Límite:
Anciano
/
Humanos
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Journal of the Korean Society of Coloproctology
Año:
2011
Tipo del documento:
Artículo
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