Fístula colovesical secundaria a enfermedad diverticular: cirugía laparoscópica electiva

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.