Colovesical and Colovaginal Fistulas Secondary to Perforated Sigmoid Diverticulitis - A Rare Case Presentation and Repair Done by Hand Assisted Laparoscopy

Dr. Praneetha Mateti, Dr. Sudarshan Chaugale, Dr. Ramesh Koujalagi

Abstract: This case report details a 60 - year - old female presenting with colovesical and colovaginal fistulas secondary to perforated sigmoid diverticulitis. With a significant surgical history including hysterectomy and salpingo - oophorectomy, the patient underwent diagnostic evaluation with CECT, which confirmed the fistulous communications. The patient was managed successfully with hand - assisted laparoscopic repair, including sigmoidectomy, colorectal anastomosis, and diversion loop ileostomy, leading to an uneventful recovery. This report highlights the challenges and benefits of combining minimally invasive techniques with open surgery principles in complex fistula repair.

Keywords: Diverticulitis, Colovesical fistula, Colovaginal fistula, Hand-assisted laparoscopy

How to Cite?: Dr. Praneetha Mateti, Dr. Sudarshan Chaugale, Dr. Ramesh Koujalagi, "Colovesical and Colovaginal Fistulas Secondary to Perforated Sigmoid Diverticulitis - A Rare Case Presentation and Repair Done by Hand Assisted Laparoscopy", Volume 14 Issue 2, February 2025, International Journal of Science and Research (IJSR), Pages: 1273-1274, https://www.ijsr.net/getabstract.php?paperid=SR25221125733, DOI: https://dx.doi.org/10.21275/SR25221125733