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VESICORECTAL FISTULA AS A COMPLICATION OF DIVERTICULAR DISEASE

  • I. G. Fedorov 1Buyanov City Clinical Hospital of the Moscow Department of Health; Pirogov Russian National Research Medical University, Moscow, Russian Federation https://orcid.org/0000-0003-1003-539X
  • J. A. Sviridenko Federal Medical Biophysical Center named after A.I. Burnazyan, Federal Medical and Biological Agency of Russia, Moscow, Russian Federation https://orcid.org/0009-0002-6094-7100
  • G. A. Sedova Buyanov City Clinical Hospital of the Moscow Department of Health, Moscow, Russian Federation https://orcid.org/0000-0003-2720-8656
  • I. V. Sazhin Buyanov City Clinical Hospital of the Moscow Department of Health; Pirogov Russian National Research Medical University, Moscow, Russian Federation https://orcid.org/0000-0002-8073-6717
  • N. V. Petrenko Buyanov City Clinical Hospital of the Moscow Department of Health, Moscow, Russian Federation https://orcid.org/0000-0001-9283-4237
  • R. A. Ivashchenko Buyanov City Clinical Hospital of the Moscow Department of Health, Moscow, Russian Federation https://orcid.org/0000-0003-0451-0000
  • L. Yu. Ilchenko Pirogov Russian National Research Medical University, Moscow, Russian Federation https://orcid.org/0000-0001-6029-1864
  • I. G. Nikitin Pirogov Russian National Research Medical University, Moscow, Russian Federation https://orcid.org/0000-0003-1699-0881
Keywords: diverticular disease, diverticulitis, vesicointestinal fistula

Abstract

Diverticulitis is the most common cause of vesicorectal fistulas. This article presents a case of vesicorectal fistula in a patient with diverticular disease complicated by diverticulitis. Long-term conservative treatment was provided to repair the bladder wall defect, stabilize the patient's overall condition, manage concomitant pathologies, as well as to reduce inflammation with the purpose of minimizing postoperative complications. During the operation, the cicatricial adhesive process following a previously formed infiltrate with subsequent abscess formation was detected. The abscess was drained. As a result of the operation, an end sigmoid colostomy was formed, with a view of reconstructive coloplasty.

References

Associacija koloproktologov Rossii, Rossijskaja Gastrojenterologicheskaja Associacija. Divertikuljarnaja bolezn. Klinicheskie rekomendacii. Moskva; 2024. 55 p. (Russian).

Achkasov SI, Moskalev AI, Zhuchenko AP, Orlova LP, Zarodnjuk IV, Skridlevskij SN, Markova EV, Lihter MS, Trubachjova JuL, Dzhanaev JuA. Svishhi obodochnoj kishki kak oslozhnenie divertikuljarnoj bolezni [Colonic fistulas as complication of diverticular disease]. Koloproktologija. 2011;4(38):11-20. edn OOEXPJ. (Russian).

Melchior S, Cudovic D, Jones J, Thomas C, Gillitzer R, Thüroff J. Diagnosis and surgical management of colovesical fistulas due to sigmoid diverticulitis. J Urol. 2009;182(3):978-82. https://doi.org/10.1016/j.juro.2009.05.022.

Garcea G, Majid I, Sutton CD, Pattenden CJ, Thomas WM. Diagnosis and management of colovesical fistulae; six-year experience of 90 consecutive cases. Colorectal Dis. 2006;8(4):347-52. https://doi.org/10.1111/j.1463-1318.2005.00928.x.

Published
2026-06-10
How to Cite
1.
Fedorov IG, Sviridenko JA, Sedova GA, Sazhin IV, Petrenko NV, Ivashchenko RA, Ilchenko LY, Nikitin IG. VESICORECTAL FISTULA AS A COMPLICATION OF DIVERTICULAR DISEASE. journalHandG [Internet]. 2026Jun.10 [cited 2026Jun.13];10(1):81-4. Available from: http://hepatogastro.grsmu.by/index.php/journalHandG/article/view/400

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