Vesicosigmoidal Fistula Caused by Diverticulitis.
- Author:
San Wook KIM
1
;
Jung Suk PARK
;
Sang Bok NAM
;
Jae Jun KIM
;
Soon Chan KIM
Author Information
1. Department of Urology, Seoul Adventist Hospital, Seoul, Korea. 223KSC@hananet.net
- Publication Type:Case Report
- Keywords:
Diverticulitis;
Fistula
- MeSH:
Aged;
Asian Continental Ancestry Group;
Colon, Sigmoid;
Cystectomy;
Cystoscopy;
Diverticulitis*;
Diverticulum;
Fever;
Fistula*;
Humans;
Inflammatory Bowel Diseases;
Male;
Nocturia;
Radiotherapy;
Urination;
Urography
- From:Korean Journal of Urology
2005;46(11):1221-1223
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Enterovesical fistula is a relatively uncommon complication involving colorectal and pelvic malignancies, intestinal diverticulitis, inflammatory bowel disease, radiotherapy and trauma in Asian countries. A 77-year-old male was referred with complaints of difficult urination, frequency, nocturia and abdominal discomfort. On admission, fever and fecaluria were present. Various diagnostic procedures such as excretory urography, cystography, cystoscopy, rectoscopy and pelvic computed tomography (CT) scan were performed. Under the impression of vesicosigmoidal fistula, segmental resection of the sigmoid colon with partial cystectomy was performed. The histopathology revealed diverticulosis of the sigmoid colon with diverticulitis and development of a vesicosigmoidal fistula.
