title: [Sigmoidovesical fistula caused by diverticulitis detected with sigmoidoscopy].
abstract: Enterovesical fistular is an abnormal communication between the intestine and the bladder. It represents a rare complication of intestinal diverticulitis, colorectal malignancy, bladder cancer, inflammatory bowel disease, radiotherapy, and trauma. The most common etiology is diverticular disease. A 70-year-old man came to our hospital due to frequent urinary tract infection, dysuria, pneumaturia and fecaluria. Sigmoidoscopy revealed a large diverticulum with impacted stool at the sigmoid colon. When the scope was inserted into the site, the patient complained of severe urgency and pneumaturia. CT scan was performed. 1.5 cm sized fistular tract between the sigmoid colon and bladder was noted. According to the endoscopy and CT finding, the diagnosis of colovesical fistula was made. The patient underwent surgical intervention. At laparotomy, there were multiple diverticula and fistular tract was noted.
authors: Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
authors: Yong Wook
authors: YW
authors: Jung
authors: Jung Hyun
authors: JH
authors: Yoo
authors: Jung Soo
authors: JS
authors: Lee
authors: Byung Ik
authors: BI
authors: Jang
authors: Kyeong Ok
authors: KO
authors: Kim
authors: Sang Hun
authors: SH
authors: Jung
mesh_terms: D000368:Aged; D012809:Colon, Sigmoid / Q000473:pathology*; D004238:Diverticulitis / Q000150:complications / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male; D012812:Sigmoidoscopy; D014057:Tomography, X-Ray Computed