Dufera Rabira R, Tolu-Akinnawo Oluwaremilekun, Maliakkal Benedict J
Internal Medicine, Meharry Medical College, Nashville, USA.
Gastroenterology and Hepatology, Nashville General Hospital, Nashville, USA.
Cureus. 2023 Feb 16;15(2):e35082. doi: 10.7759/cureus.35082. eCollection 2023 Feb.
Colovesical fistula is one of the known complications of acute diverticulitis. However, it is uncommon for a patient to present with a colovesical fistula without prior episodes of diverticulitis. In this case, we report a patient with acute diverticulitis presenting with a colovesical fistula with no antecedent history of any medical condition. The patient was treated with intravenous antibiotics and subsequently had a temporary laparoscopic colostomy. Although colovesical fistula caused by diverticular disease was once considered a relative contraindication to laparoscopic resection, this method is now being increasingly employed by experienced surgeons. Compared with laparoscopic colon resection surgery for uncomplicated diverticulitis, the minimally invasive treatment of colovesical fistula requires a longer operative time and advanced surgical skills.
结肠膀胱瘘是急性憩室炎已知的并发症之一。然而，患者在没有既往憩室炎发作史的情况下出现结肠膀胱瘘并不常见。在此病例中，我们报告一名患有急性憩室炎且伴有结肠膀胱瘘的患者，其无任何既往病史。该患者接受了静脉抗生素治疗，随后进行了临时腹腔镜结肠造口术。尽管由憩室病引起的结肠膀胱瘘曾被认为是腹腔镜切除术的相对禁忌证，但现在经验丰富的外科医生越来越多地采用这种方法。与用于单纯性憩室炎的腹腔镜结肠切除术相比，结肠膀胱瘘的微创治疗需要更长的手术时间和更高的手术技巧。
