Aziz Haifa Mohammed, Aljayyar Mohammed Waleed, Qabbani Hanan
Department of Surgery, King Salman bin Abdulaziz Medical City, Medina, Saudi Arabia.
King Salman bin Abdulaziz Medical City, Medina, Saudi Arabia.
J Surg Case Rep. 2025 Sep 6;2025(9):rjaf721. doi: 10.1093/jscr/rjaf721. eCollection 2025 Sep.
Diverticular diseases uncommonly occur at a young age. However, its prevalence in younger individuals is rising. Atypical presentations will lead to misdiagnoses and unindicated surgery. Colovesical fistulas remain the most common type that is associated with diverticular diseases. A 16-year-old female patient presents with 2 months history of left-sided lower abdominal pain, in addition to, longstanding history of urinary incontinence since early childhood. Imaging studies, including computed tomography and magnetic resonance imaging, revealed complicated sigmoid diverticulitis by fistula formation to the urinary bladder and uterus, possible fistula to the vagina and rectum. The patient underwent successful surgical intervention, including sigmoidectomy, closure down of the colovesical fistula, and keeping of the vesicouterine fistula with plans for future repair by a specialized urogynecologist.
憩室病在年轻人中并不常见。然而，其在年轻个体中的患病率正在上升。非典型表现会导致误诊和不必要的手术。结肠膀胱瘘仍然是与憩室病相关的最常见类型。一名16岁女性患者，除自幼就有长期尿失禁病史外，还有2个月的左侧下腹痛病史。包括计算机断层扫描和磁共振成像在内的影像学检查显示，乙状结肠憩室炎并发膀胱和子宫瘘形成，可能还有阴道和直肠瘘。患者接受了成功的手术干预，包括乙状结肠切除术、结肠膀胱瘘闭合以及保留膀胱子宫瘘，计划未来由专业的泌尿妇科医生进行修复。
