No abstract

Colovesical fi stula: laparoscopic surgery Aim: Colovesical fi stula is a severe complication associated to neoplastic or infl ammatory colon disease. Most common procedure is open surgery. We report a case of colovesical fi stula secondary to diverticular disease treated with a laparoscopic approach. Methods: A 64-year-old man was seen with a known colonic diverticular disease, type 2 diabetes mellitus and recurrent urinary tract infection. He complained of lower abdominal pain, dysuria, and pneumaturia. A CT scan revealed a sigmoid diverticular perforation into the bladder (colovesical fi stula). A left hemicolectomy with partial cystectomy was performed by laparoscopy means. Results: There was no morbidity related to the surgical procedure, and the fi nal pathology confi rmed a colonic diverticular disease with bladder compromise. The patient is asymptomatic at 24 months of follow up. Conclusion: The laparoscopic approach is a feasible alternative for the treatment of colovesical fi stula with low morbidity.

No abstract

No abstract

No abstract