Colosalpingeal fistula: a rare complication of colonic diverticular disease.
Diverticular disease is a common condition in Western countries. The formation of inflammatory fistulae, usually from sigmoid colon to bladder or vagina, can be a feature of complicated cases of the disorder and is normally an indication for surgical intervention. We present a case of colosalpingeal fistulation occurring secondary to diverticulitis, a complication which, to our knowledge, has not been previously reported in the radiological literature. As in this instance, the initial clinical presentation of this problem can often be non-specific, with localising symptoms occurring later. In our case, barium enema examination allowed good demonstration of the fistulous communication before the more specific symptoms were clinically apparent.
Williams
S M
SM
Department of Radiology, John Radcliffe Hospital, Headington, Oxford OX3 9DZ, UK.
Nolan
D J
DJ
D000368:Aged; D000369:Aged, 80 and over; D001466:Barium Sulfate; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D003287:Contrast Media; D004239:Diverticulitis, Colonic / Q000150:complications* / Q000000981:diagnostic imaging; D004733:Enema; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography
D003287:Contrast Media; D001466:Barium Sulfate