title: [Recurrent urinary tract infection due to enterovesical fistula secondary to colon diverticular disease: a case report].
abstract: BACKGROUND
  Enterovesical fistula are pathological connections between the bladder and pelvic intestinal segments. It consists of a rare complication of neoplastic and inflammatory pelvic disorders, in addition to iatrogenic or traumatic injuries, and correlates with both high morbidity and mortality indexes.
  
  
  METHODS
  Male patient, 61 years old, admitted at the hospital clinics featuring abdominal pain and distension, vomiting and fecal retention. Patient's pathological precedents include high blood pressure, diabetes mellitus, vesical dysfunction and recurrent urinary tract infection on the past three years. Magnetic resonance imaging of abdomen and pelvis revealed enterovesical fistula in association with colon diverticular disease of the sigmoid. Management of choice consisted of partial colectomy with bowel lowering and partial cystectomy with surgical double-J stent insertion.
  
  
  CONCLUSIONS
  Although consisting of a gastrointestinal primary affection, patients with enterovesical fistula usually search for medical help charging urinary tract features. In this particular case, our patient was admitted with gastrointestinal symptoms, reasoned by diagnostic delay, as the patient had already attended at multiple centers with urinary symptoms.
  
  
  CONCLUSIONS
  Despite being an unusual affection, recurrent urinary tract infection associated with colon diverticular disease must always be considered at differential diagnosis of recurrent urinary tract infection as it concurs with high morbidity and mortality.
authors.forename: Natália Silva
authors.initials: NS
authors.lastname: Cavalcanti
authors.forename: Lorena Luryann Cartaxo
authors.initials: LL
authors.lastname: da Silva
authors.forename: Leonardo Sales
authors.initials: LS
authors.lastname: da Silva
authors.forename: Luiz Antonio Cavalcante
authors.initials: LA
authors.lastname: da Fonseca
authors.forename: Cristianne da Silva
authors.initials: Cda S
authors.lastname: Alexandre
mesh_terms: D043963:Diverticulosis, Colonic / Q000150:complications*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012810:Sigmoid Diseases / Q000150:complications*; D001747:Urinary Bladder Fistula / Q000150:complications* / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology*