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RESEARCH PRODUCT

The colovescical fistula in diverticular disease: Laparoscopic approach in two different cases

Brenda RandisiGiulia BonventreGiuseppe Di BuonoAntonino AgrusaSalvatore BuscemiGiorgio Romano

subject

Laparoscopic surgerymedicine.medical_specialtySurgical skillsmedicine.medical_treatmentFistulaCase ReportLaparoscopic colorectal resection03 medical and health sciences0302 clinical medicineFecaluriaComplicated diverticulitismedicineDysuriaLaparoscopic suturesContraindicationPneumaturiamedicine.diagnostic_testbusiness.industryCystoscopymedicine.diseasedigestive system diseasesSurgery030220 oncology & carcinogenesisDiverticular diseaseLaparoscopy030211 gastroenterology & hepatologySurgerymedicine.symptomColovescical fistulabusiness

description

Highlights • The colovescical fistula is one of the complications of diverticular disease. • It can cause typical symptoms like pneumaturia and fecaluria affecting the quality of life and sometimes leading to death, usually secondary to sepsis. • We studied two patients with clinical, radiological and endoscopic diagnosis of colovescical fistula as a consequence of diverticular disease. • We performed a totally laparoscopic treatment with colonic resection and closure of the fistula with intracorporeal sutures. • The presence of a colovescical fistula significantly increases the difficult of the laparoscopic colonic resection.

https://doi.org/10.1016/j.ijscr.2020.09.044