Coloseminal Fistula Complicating Sigmoid Diverticulitis

Abstract

We report on a 32-year-old man with a history of chronic lower abdominal pain and urogenital symptoms, leading to the diagnosis of coloseminal fistula complicating diverticular disease. We reviewed the literature on this rare clinical entity and would like to stress the role of pelvic imaging with rectal contrast to investigate complicated forms of diverticular disease.

An elderly man with fecal materials in the Foley catheter

“…2 Symptoms of enterovesical fistula may originate from the gastrointestinal or urinary tract. 3 Clinical suspicion of enterovesical fistula may arise from fecaluria, pneumaturia, or malodorous urine. 4 CT scans are the choice for diagnosing enterovesical fistula and surveying the adjacent anatomical structures.…”

“…Enterovesical fistula is a rare but devastating complication of various malignancies or inflammatory diseases 2 . Symptoms of enterovesical fistula may originate from the gastrointestinal or urinary tract 3 . Clinical suspicion of enterovesical fistula may arise from fecaluria, pneumaturia, or malodorous urine 4 .…”