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Coloseminal fistula complicating sigmoid diverticulitis
Maximilien Barret1, Charles-André Cuenod, Raymond Jian
1Department of Gastroenterology and Digestive Endoscopy, Hôpital Européen Georges Pompidou, GHU Ouest, Assistance Publique-Hôpitaux de Paris, Paris, France.
Urologia Internationalis
|January 25, 2014
Summary
A rare colovesical fistula, a complication of diverticular disease, was diagnosed in a patient with chronic abdominal pain. Pelvic imaging with rectal contrast is crucial for diagnosing complex diverticular disease.
Area of Science:
- Gastroenterology
- Urology
- Radiology
Background:
- Diverticular disease is a common condition, but its complications can be rare and challenging to diagnose.
- Colovesical fistula, an abnormal connection between the colon and bladder, is a serious complication.
- Chronic lower abdominal pain and urogenital symptoms can indicate complex diverticular disease.
Observation:
- A 32-year-old male presented with chronic lower abdominal pain and urogenital symptoms.
- Diagnostic workup led to the identification of a colovesical fistula.
- This fistula was a complication of underlying diverticular disease.
Findings:
- The case highlights a rare instance of colovesical fistula secondary to diverticular disease.
- Literature review confirms the rarity of this clinical entity.
- Pelvic imaging, specifically with rectal contrast, is essential for investigating complicated diverticular disease.
Implications:
- Accurate and timely diagnosis of colovesical fistula is critical for patient management.
- The findings underscore the importance of advanced imaging techniques in diagnosing complex diverticular disease.
- This case emphasizes the need for considering rare complications in patients with persistent abdominal and urogenital symptoms.
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