2004 Volume 15 Issue 7 Pages 264-268
We report a case of enterovesical fistula and abdominal abscess associated with diverticulitis of the small intestine. A 94-year-old man was admitted to our hospital with a history of loss of appetite and abdominal pain. Laboratory examination revealed marked elevation of the CRP to 21.8mg/dl and pyuria with saburra. Contrast-enhanced computed tomography revealed an abdominal abscess and air in the urinary bladder, therefore emergency laparotomy was performed. The operative findings included multiple diverticula along the mesenteric aspect of the small intestine, and two perforations with severe adhesion were identified. Each of the perforations was associated with an abdominal abscess and enterovesical fistula. We performed partial resection of the small intestine including the two perforations, and intra-abdominal lavage. Histopathological examination of the resected specimen revealed multiple diverticula in the small intestine. Enterovesical fistula associated with diverticulitis of the small intestine is extremely rare, our search of the literature revealing only five reported cases.
