{Reference Type}: Case Reports
{Title}: Right-Sided Epididymo-Orchitis as a Presentation of Diverticular Colovesical Fistula.
{Author}: Sidhu K;Seyfi D;Byrne C;
{Journal}: Cureus
{Volume}: 15
{Issue}: 2
{Year}: Feb 2023
暂无{DOI}: 10.7759/cureus.35376
{Abstract}: A colovesical fistula is a recognized complication of diverticulitis. Although the underlying pathology is usually of colonic origin, the majority of patients present with urological symptoms, classically pneumaturia, and urinary tract infection. Epididymo-orchitis is a rare presentation. It is important to identify elderly males who present with recurrent urosepsis and/or epididymo-orchitis refractory to medical treatment as they may have an underlying benign or malignant etiology. The diagnostic challenge in these cases is to confirm the presence of a fistula, exclude malignancy, and determine the underlying pathology. We present a case of diverticular colovesical fistula in an elderly male who presented with symptoms of epididymo-orchitis on a background of recurrent urinary tract infections. The presence of intravesical gas within the left posterolateral bladder wall and soft tissue thickening continuous with the mid-sigmoid colon was consistent with a colovesical fistula. This patient underwent elective laparoscopic anterior resection and repair of colovesical fistula.