Korean J Urol.  2005 Nov;46(11):1221-1223.

Vesicosigmoidal Fistula Caused by Diverticulitis

• Kim SW
• Park JS
• Nam SB
• Kim JJ
• Kim SC

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.

Keyword

Diverticulitis; Fistula

MeSH Terms

Aged
Asian Continental Ancestry Group
Colon, Sigmoid
Cystectomy
Cystoscopy
Diverticulitis*
Diverticulum
Fever
Fistula*
Humans
Inflammatory Bowel Diseases
Male
Nocturia
Radiotherapy
Urination
Urography