%0 Journal Article
%T F¨ªstula colovesical secundaria a enfermedad diverticular: cirug¨ªa laparosc¨®pica electiva
%A Castillo C
%A Octavio
%A Rodr¨ªguez-Carlin
%A Arqu¨ªmides
%A Campa£¿a V
%A Gonzalo
%A P¨¦rez C
%A Alberto
%J Revista chilena de cirug¨ªa
%D 2012
%I Scientific Electronic Library Online
%R 10.4067/S0718-40262012000300010
%X aim: colovesical fistula is a severe complication associated to neoplastic or inflammatory colon disease. most common procedure is open surgery. we report a case of colovesical fistula 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 fistula). a left hemicolectomy with partial cystectomy was performed by laparoscopy means. results: there was no morbidity related to the surgical procedure, and the final pathology confirmed 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 fistula with low morbidity.
%K colovesical fistulae
%K diverticular disease
%K bowel inflamatory diseases
%K colonic surgery
%K laparoscopic surgery.
%U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0718-40262012000300010&lng=en&nrm=iso&tlng=en