Colovesical fistula presenting with epididymitis.

Abstract

This article reports a case of colovesical fistula presenting with epididymitis. A 75-year-old man with a recent conservatively managed localised diverticular perforation presented to hospital with acute pain and swelling of his left testicle and epididymis. On further questioning, the patient reported passing air in his urine. Urine cultures grew Enterococcus faecalis. Ultrasound scan confirmed a diagnosis of bacterial epididymitis and the patient was treated with intravenous antibiotics. Subsequent CT imaging revealed air in the bladder and a colovesical fistula. The patient went on to have Hartmann's procedure with repair of the bladder defect. This case highlights that: (1) Colovesical fistulae may rarely present with epididymitis. (2) Colovesical fistulae are the most common cause of pneumaturia.

• Authors: Matthew Arneill, Derek Barry Hennessey, Damian McKay
• Journal: BMJ case reports (BMJ Case Rep) Vol. 2013 (Apr 23 2013) ISSN: 1757-790X [Electronic] England
• PMID: 23616326 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Aged
• Anti-Bacterial Agents (therapeutic use)
• Diagnosis, Differential
• Drug Therapy, Combination
• Epididymitis (diagnosis, drug therapy)
• Humans
• Intestinal Fistula (diagnosis, drug therapy)
• Male
• Tomography, X-Ray Computed