Ravichandran Karthik Raja, Munguia-Vazquez Ray, Nirmalan Ruban
General Surgery, Indiana University School of Medicine, Indianapolis, USA.
Otolaryngology and Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, USA.
Cureus. 2024 Sep 17;16(9):e69589. doi: 10.7759/cureus.69589. eCollection 2024 Sep.
We present an unusual case of colovesical fistula formed by a single diverticulum manifesting as prostatitis and urinary tract infection (UTI) before causing further complications. Diverticulitis is caused by inflammation of the colonic diverticula and manifests as fever and left lower quadrant pain. The patient also developed recurrent pneumaturia; upon examination, a colovesical fistula was observed on computed tomography (CT), which was managed successfully by laparoscopic repair. This case highlights manifestations of colovesical fistula secondary to diverticular disease and the laparoscopic approach to treatment.
我们报告一例罕见的由单个憩室形成的结肠膀胱瘘病例,该病例在引发更多并发症之前表现为前列腺炎和尿路感染(UTI)。憩室炎由结肠憩室炎症引起,表现为发热和左下腹疼痛。患者还出现反复气尿;经检查,计算机断层扫描(CT)发现结肠膀胱瘘,通过腹腔镜修复成功治疗。该病例突出了憩室病继发结肠膀胱瘘的表现及腹腔镜治疗方法。