A Case of Vesicosigmoidal Fistula due to Diverticulitis with Prostatic Abscess

Kazuo Tsuno, Masanobu Maruyama, Tatsuo Yamazaki, Nobuji Ogawa, Toshitaka Furukawa and Takahiro Arai^*

Department of Surgery and Department of Urology^*, Maruyama Memorial General Hospital

We report an uncommon vesicosigmoidal fistula due to diverticulitis with prostatic abscess and sepsis. A 67-year-old man with pollakisuria and micturation pain was suspected of proctatitis and antibiotic therapy was begun in March 2000. He experienced a pneumaturia suggesting colovesical fistula in April. A barium enema showed diverticulosis of the sigmoid colon but no colovesical fistula. In August, he was admitted due to incipient poor general condition with paracolic and prostatic abscesses from comuted tomography (CT) findings. Sigmoidectomy, colostomy, and surgical drainage were conducted for the vesicosigmoidal fistula and percutaneous drainage for the prostatic abscess.

Key words
colovesical fistula, diverticulitis, prostatic abscess

Reprint requests
Kazuo Tsuno Department of Surgery, Maruyama Memorial General Hospital 2-10-5 Honcho, Iwatsuki, 339-8521 JAPAN

Accepted
September 19, 2001

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