title: [Sigmoido-vesical fistula: a case report].
abstract: 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.
authors.affiliation: Service de Chirurgie générale, Hôpital des FSI, La Marsa.
authors.forename: Atef
authors.initials: A
authors.lastname: Youssef
authors.forename: Mohamed Anis
authors.initials: MA
authors.lastname: Achiche
authors.forename: Haikel
authors.initials: H
authors.lastname: Rezgui
authors.forename: Adnene
authors.initials: A
authors.lastname: Chouchene
authors.forename: Mohamed Hedi
authors.initials: MH
authors.lastname: Balti
mesh_terms: 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