[Sigmoido-vesical fistula: a case report].
BACKGROUND
Colovesical fistula is a rare complication of inflammatory and neoplasic pelvic diseases (0.2%).


OBJECTIVE
To report a new case.


METHODS
We report the case of a 74-year-old woman, with a charged previous medical history and had not had hysterectomy. She was admitted because of cystitis with haematuria associated to faecaluria and pneumaturia confirmed by an intravenous pyelogram. Water-soluble contrast medium show the sigmoidovesical fistula. A sigoid sticture is identified at colonoscopy and biopsy was realised. The patient had had sigmoidectomy with Hartmann's procedure. Histologic study confirm the diverticulatis with peridiverticular abcess and fistula. We suggest that early diagnosis and management of sigmoid diverticulatis is required to prevent complicatins like stricture and fistula.
Youssef
Atef
A
Service de Chirurgie générale, Hôpital des FSI, La Marsa.
Achiche
Mohamed Anis
MA
Rezgui
Haikel
H
Chouchene
Adnene
A
Balti
Mohamed Hedi
MH
D000368:Aged; D003113:Colonoscopy; D004239:Diverticulitis, Colonic / Q000150:complications; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011859:Radiography; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D014552:Urinary Tract Infections / Q000209:etiology