ArticleIJU case reports2026
Testicular Ischaemia Following Diverticulitis Complicated by Colovesical Fistula: A Case Report.
Article in IJU case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Testicular Ischaemia Following Diverticulitis Complicated by Colovesical Fistula: A Case Report.IJU case reports · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Colovesical fistula is a recognized complication of diverticulitis, but progression to testicular ischaemia is, to our knowledge, an unreported phenomenon. While colovesical fistulas occur in diverticular disease, the spread of infection to the testes is rare. Case Presentation: A 47-year-old male with recurrent diverticulitis presented with abdominal pain and was found to have a pelvic abscess. Despite conservative management, the patient developed pneumaturia, dysuria, and right testicular pain. Preoperative scrotal ultrasonography with color Doppler demonstrated globally reduced but present intratesticular arterial flow; a decision was made to prioritize definitive source control of the colovesical fistula with laparoscopic anterior resection and defunctioning ileostomy. Repeat Doppler on Day 7 demonstrated complete absence of arterial flow to the right testis, necessitating orchiectomy for inflammatory necrosis. Conclusion: We report what is, to our knowledge, the first documented case. This case highlights the need for vigilance for genitourinary symptoms in diverticulitis. Prompt recognition is vital to prevent irreversible testicular loss.
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Registered trials
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