Sigmoidovesical Fistula Caused by Diverticulitis Detected with Sigmoidoscopy.
10.4166/kjg.2011.58.5.284
- Author:
Yong Wook JUNG
1
;
Jung Hyun YOO
;
Jung Soo LEE
;
Byung Ik JANG
;
Kyeong Ok KIM
;
Sang Hun JUNG
Author Information
1. Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. jbi@med.yu.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Enterovesical fistula;
Diverticulitis;
Sigmoidoscopy
- MeSH:
Aged;
Colon, Sigmoid/*pathology;
Diverticulitis/complications/*surgery;
Humans;
Intestinal Fistula/*diagnosis/etiology/surgery;
Male;
Sigmoidoscopy;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2011;58(5):284-287
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Enterovesical fistular is an abnormal communication between the intestine and the bladder. It represents a rare complication of intestinal diverticulitis, colorectal malignancy, bladder cancer, inflammatory bowel disease, radiotherapy, and trauma. The most common etiology is diverticular disease. A 70-year-old man came to our hospital due to frequent urinary tract infection, dysuria, pneumaturia and fecaluria. Sigmoidoscopy revealed a large diverticulum with impacted stool at the sigmoid colon. When the scope was inserted into the site, the patient complained of severe urgency and pneumaturia. CT scan was performed. 1.5 cm sized fistular tract between the sigmoid colon and bladder was noted. According to the endoscopy and CT finding, the diagnosis of colovesical fistula was made. The patient underwent surgical intervention. At laparotomy, there were multiple diverticula and fistular tract was noted.
