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Colovesical fistula complicating colonic diverticulosis
J D Wig1, R Kochhar, M K Goenka
1Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh.
Summary
Colovesical fistulae, often caused by colonic diverticulosis, commonly present with urinary symptoms. Surgical resection of the affected intestine is an effective treatment, even in tropical regions.
Area of Science:
- Gastroenterology
- Urology
- Surgical Oncology
Background:
- Colovesical fistulae are abnormal connections between the colon and bladder.
- Colonic diverticulosis is a common condition characterized by the formation of small pouches in the colon wall.
Observation:
- Two cases of colovesical fistulae secondary to colonic diverticulosis are presented.
- Urinary symptoms were the primary clinical presentation in both patients.
- Barium enema successfully identified the fistulae, while cystoscopy did not localize the exact site.
Findings:
- Surgical intervention involving resection of the fistula and diseased intestinal segment led to successful outcomes.
- Both patients experienced complete recovery and remained well during follow-up.
Implications:
- Colonic diverticulosis should be considered in the differential diagnosis of colovesical fistulae, irrespective of geographic location, including tropical countries.
- Prompt diagnosis and surgical management are crucial for favorable patient outcomes in cases of colovesical fistulae.