title: [Vesico-sigmoid fistula secondary to diverticulitis: a case report].
abstract: Vesico-sigmoid fistula is a rare complication of colic diverticular disease. It develops when the bladder sticks to an inflammatory colon making of a communication between the bladder and the digestive segment, usually the sigmoid. Liquid usually passes from the colon to the bladder because of the existing pressure gradient. Hence, urinary symptoms are the most frequent. Surgery is the treatment of choice. The present case is about a 72-year-old man who had a total hematuria for 3 months. The diagnosis of a vesico-sigmoid fistula secondary to colic diverticulitis was established by cystoscopy, colonoscopy and cystography. Surgery was underlaken and the postoperative outcome was excellent. Through this case the clinical features, special investigations and treatment of vesico-sigmoid fistula, are reported.
authors.affiliation: Service d'Urologie, Hôpital la Rabta, Tunis, Tunisie.
authors.forename: Mohamed Mourad
authors.initials: MM
authors.lastname: Gargouri
authors.forename: Yassine
authors.initials: Y
authors.lastname: Nouira
authors.forename: Yousri
authors.initials: Y
authors.lastname: Kallel
authors.forename: Karim
authors.initials: K
authors.lastname: Bouraoui
authors.forename: Fethi
authors.initials: F
authors.lastname: Chebbi
authors.forename: Ali
authors.initials: A
authors.lastname: Horchani
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000150:complications*; D004238:Diverticulitis / Q000150:complications*; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D012810:Sigmoid Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery