Colovesical fistula due to sigmoid colon diverticulitis a case report

A 72-year-old man was came to our hospital with the complaints of left lower abdomen pain, dysuria, turbid urine, pneumaturia and occasional fecaluria and was recently treated for acute cystitis. Clinical and radiological and Cystoscopic evaluation revealed sigmoid diverticulitis with colovesical fistula. . Primary repair of the bladder with excision of fistulae and resection anastomosis of the colon was done in a single stage. Retrograde cytography taken on the 20th post-operative day revealed no leakage of contrast medium. He was asymptomatic at 3 months of follow-up. The high index clinical suspicion and expertise management results in good outcome of colovesical fistula.