Diverticular Colovesical Fistula Presenting as Recurrent Epididymoorchitis

Epididymo-orchitis secondary to colovesical fistula

“…Epididymitis occurs secondary to retrograde spread of cystitis, urethritis or prostatitis through the ejaculatory ducts and vas deferens. 1 Orchitis may occur as a result of direct viral infection or, more commonly, following retrograde extension of existing epididymitis. 1 EO may be caused by various etiologies, including infection, genitourinary malformations, trauma, bladder outlet obstructions, or iatrogenic causes.…”

“… 1 Orchitis may occur as a result of direct viral infection or, more commonly, following retrograde extension of existing epididymitis. 1 EO may be caused by various etiologies, including infection, genitourinary malformations, trauma, bladder outlet obstructions, or iatrogenic causes. 2 In patients under the age of 35, EO is most often caused by Chlamydia trachomatis and Neisseria gonorrhoeae in sexually transmitted infection (STI), while coliforms are the most common cause of EO in patients over the age of 35.…”

“… 2 In patients under the age of 35, EO is most often caused by Chlamydia trachomatis and Neisseria gonorrhoeae in sexually transmitted infection (STI), while coliforms are the most common cause of EO in patients over the age of 35. 1 , 2 …”

“…It is a common urological condition that is often associated with sexually transmitted diseases or coliform infections. 1 , 2 Colovesical fistulas (CVF) are pathological conduits between the colon and urinary bladder. Over half of CVFs are associated with underlying diverticulitis, a very common condition responsible for over 2.9 million outpatient visits and hospital admissions annually.…”

“… 4 Although both EO and CVF are both very common, EO secondary to CVF is extremely rare, with only a few such cases reported. 1 , 3 …”