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Multiple ileal diverticula causing an ileovesical fistula: report of a case
Kenichi Ietsugu1, Hisayuki Nakashima, Mitsuyo Kosugi
1Division of Surgery, Tonami General Hospital, Toyama, Japan.
Surgery Today
|October 12, 2002
Summary
Multiple ileal diverticula can cause an ileovesical fistula, leading to chronic urethrocystitis. Surgical resection of the affected ileal segment successfully treated this rare condition in an elderly patient.
Area of Science:
- Gastroenterology
- Urology
- Surgical Pathology
Background:
- A rare case of ileovesical fistula secondary to multiple ileal diverticula is presented.
- The patient, an 85-year-old male, suffered from intractable urethrocystitis for five years.
Observation:
- Diagnostic imaging, including cystography and small bowel contrast study, revealed an ileovesical fistula and approximately 80 ileal diverticula.
- The diverticula were extensively distributed throughout the ileum.
Findings:
- Surgical resection of the ileal segment affected by diverticula was performed.
- Pathological examination confirmed diverticulitis as the cause of the ileovesical fistula.
Implications:
- This case highlights a rare but significant complication of ileal diverticulosis.
- Successful surgical management of ileovesical fistula secondary to diverticulitis is demonstrated.
- Early diagnosis and intervention are crucial for managing such complex gastrointestinal-urinary fistulas.