Diverticular Disease of the Colon Complicated with Fistulas

Abstract

Diverticular disease of the colon is very popular in Europe and United States and it is not unusual to see fistula-complicating diverticulitis cases in the countries. But it is rare in Japan and only 7 cases have been reported, Which consist of 3 sigmoid-vesical, 2 colo-cutaneus, 2 colo-ileal fistulas.
We experienced 2 cases of fistula-complicating diverticulitis of the sigmoid colon. One is sigmoid-ileal and the other is sigmoidcutaneus fistula and both the cases were cured by operative procedure. Recently, with the chande of Japanese life and diet to those similar to European style, various diseases of the colon have increased. Originally, diverticular disease of the colon was recognized in right side of the colon, but recently it is found more in left side of the colon and we suspect fistla-complicating diverticular disease of the colon will increase in future.