Jornal de Pesquisa Clínica

Colovesical fistula presenting with urosepsis

Abstract

Manoj Singla and Medhansh Singla

This article reports a case of Colovesical fistula presenting with epididymitis. A 61-year-old male with a history of obstructive sleep apnea and diverticulitis, was presented to the emergency room on December 19, 2017, with severe dysuria, polyuria, fever and chills. The Patient was treated for sepsis probably due to acute cystitis and discharged from the hospital on oral antibiotics. Ultrasound done during the hospitalization showed a 6 mm no obstructing right midpole calculus. Renal ultrasound was otherwise normal. Urine grew E coli. Patient came to establish care with PCP on January 9, 2018 and he was tachycardia in the office considering his abdomen was tender and any male patient rate to have E coli in that significant quantity I decided to do CT scan of the abdomen and pelvis and that subsequently revealed patient having Colovesical fistula and patient was septic again admitted to the emergency room. Treated with IV antibiotics Foley catheter was placed and patient discharged subsequently patient ended up having elective sigmoid colectomy Foley catheter was left in place for 3 days subsequently was taken out patient came for follow-up after 6 months without signs of any UTI.