Resumo

CASTILLO C, Octavio; RODRIGUEZ-CARLIN, Arquímides; CAMPANA V, Gonzalo  e  PEREZ C, Alberto. Colovesical fistula: laparoscopic surgery. Rev Chil Cir [online]. 2012, vol.64, n.3, pp. 278-281. ISSN 0718-4026.  doi: 10.4067/S0718-40262012000300010.

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.

Palavras-chave : Colovesical fistulae; diverticular disease; bowel inflamatory diseases; colonic surgery; laparoscopic surgery.