Clinical report. Management of rare postoperative ureterocolic fistula

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Background: Ureterocolic fistula after acute colonic diverticulitis and colovesical fistula occurs rarely in patients with colonic diverticula.

Objective: We present our experience with diagnosis and treatment of postoperative ureterocolic fistula.

Methods: A 61-year-old male patient with acute colonic diverticulitis and colovesical fistula developed ureterocolic fistula after resection of sigmoid and descending colon, partial cystectomy and T-loop colostomy.

Results: The identification and subsequent management of this rare postoperative ureterocolic fistula emphasizes the importance of adequate preoperative evaluation, including the preoperative placement of ureteral stents to facilitate identification of the ureters, minimize inadvertent ureteral injury and treat possible coloureteral fistulas.

Conclusion: Our experience suggests that placement of ureteral stents allows successful treatment of postoperative urinary leakage into the peritoneal cavity through the ureterocolonic fistula and precludes major surgical intervention.

1. Lee WK, Chang SD, Roche CJ, Duddalwar VA, Rowley VA, McLoughlin MG. Spontaneous ureterocolic fistula secondary to calculous pyohydroureteronephrosis. Br J Radiol. 2005; 78:954-5.

2. Comparato G, Pilotto A, Franze A, Franceschi M, Di Mario F. Diverticular disease in the elderly. Dig Dis. 2007; 25:151-9.

3. Liu CK, Hsu HH, Cheng SM. Colonic diverticulitis in the elderly. Int J Gerontology. 2009; 3:9-15.

4. LaSpina DO, Facklis K, Posalski I, Fleshner P. Coloseminal vesicle fistula: report of a case and review of the literature. Dis Colon Rectum. 2006; 49: 1791-3.

5. Farrell RJ, Farrell JJ, Morrin MM. Diverticular disease in the elderly. Gastroenterol Clin North Am. 2001; 30: 475-496.

6. Cirocco WC. Spontaneous ureterocolic fistula: a rare complication of colonic diverticular disease. Am Surg. 1994; 60:832-5.

7. Punga-Maole A. Postoperative ureterocolic fistula: a case report. Prog Urol. 2005; 15:93-5.

8. Ornellas AA, Correia Seixas AL, Marota A, Winesnescky A, Campos F. Uretero-ureterocolic fistula 10 months after enterocystoplasty (Mainz pouch). Prog Urol. 1994; 4:87-90.

9. Yu NC, Raman SS, Patel M, Barbaric Z. Fistulas of the genitourinary tract: a radiologic review. Radiographics. 2004; 24:1331-52.

10. Jarrett TW, Vaughan ED. Accuracy of computerized tomography in the diagnosis of colovesical fistula secondary to diverticular disease. J Urol. 1995; 153: 44-6.

11. Maeda Y, Nakashima S, Misaki T. Ureterocolic fistula secondary to colonic diverticulitis. Int J Urol. 1998; 5: 610-2.

12. Shackley DC, Brew CJ. The staged management of complex entero-urinary fistulae. BJU Int. 2000; 86: 624-9.

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