Andrade-Platas JD, Morales-Montor JG, González-Monroy LE, Cantellano-Orozco M, Fernández-Carreño AJ, Camarena-Reynoso HR, Pacheco-Gahbler C, Calderón-Ferro F

Language: Spanish
References: 8
Page: 79-82
PDF size: 225.86 Kb.

ABSTRACT

Colovesical fistulas arise from diverticulitis, cancer, Crohn’s disease or iatrogenic injury. They are regularly manifested with irritative symptoms, urinary infection, fecaluria and pneumaturia. Diagnosis is made through computerized axial tomography (CAT) and cystoscopy. Treatment consists of fistula closure and resection of the involved intestinal segment if the condition of the patient and the cause of the fistula allow it. This procedure may be carried out in one or two surgeries. Laparoscopic approach is viable though not frequently used.
The case of a 61-year-old male presenting with complicated diverticular disease along with pneumaturia and fecaluria is presented. Colovesical fistula was diagnosed through CAT and cystoscopy. The patient underwent laparoscopic fistula closure and resection of the intestinal segment. The technical aspects of laparoscopic fistula closure and intestinal segment resection are described. The procedure was carried out with no complications and the progression of the patient has been favorable.

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