VESICORECTAL FISTULA AS A COMPLICATION OF DIVERTICULAR DISEASE
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.















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