Colovesical Fistula: A Complication of Sigmoid  Diverticulitis-A Case Series

Hussam Al Trabulsi; Issam Hreirati; Tala Muassess

Colovesical Fistula: A Complication of Sigmoid Diverticulitis-A Case Series

Hussam Al Trabulsi^1*, Issam Hreirati², Tala Muassess¹

¹General Surgery Department, Medcare Hospital, Dubai, UAE

²General Surgery Department, Fakeeh University, Dubai, UAE

*Corresponding author: Hussam Al Trabulsi, General Surgery Department, Medcare Hospital, Dubai, UAE

Received Date: 15 January 2023

Accepted Date: 19 January 2023

Published Date: 23 January 2023

Citation: Trabulsi HA, Hreirati I, Muassess T (2023) Colovesical Fistula: A Complication of Sigmoid Diverticulitis-A Case Series. Ann Case Report. 8: 1133. DOI:https://doi.org/10.29011/2574-7754.101133

Abstract

Colovesical fistula is a most common type of enterovesical fistulae, and is most often caused by an inflammatory process, with diverticulitis being the most common cause. We present here the cases of two patients who presented with recurrent urinary tract infections (UTIs) and pneumaturia, as well as a third case who presented with recurrent attacks of lower abdominal pain. Diagnosis was confirmed through computed tomography (CT) imaging, magnetic resonance imaging (MRI) and/or cystoscopy. Surgical management is detailed and discussed, including single-staged & two-staged repairs.

Keywords: Colovesical Fistula; Sigmoid Diverticulitis; Adhesiolysis; Hartmann’s procedure

Abbreviations: EVF: Enterovesical Fistulae; UTI: Urinary Tract Infections; NPO: Nil Per Os; POD: Post-Operative Day; CT: Computed Tomography; IV: Intravenous; MRI: Magnetic Resonance Imaging