ArticleCureus2026
Colostomy for Bowel Diversion in Aggressive Diverticulitis With Colovesical and Colocutaneous Fistulae: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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3 authors.
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Abstract
Fistulizing diverticulitis is an uncommon and aggressive manifestation of diverticular disease. Most patients develop a single fistula; multiple synchronous fistulae are less commonly reported. We present a case of a 55-year-old man with a history of anorectal fistula repair who presented with recurrent abdominal pain, urinary symptoms, and weight loss. Imaging revealed complicated sigmoid diverticulitis with multiple fistulae involving the bladder, rectum, and abdominal wall. Initial management included abscess drainage and a diverting transverse loop colostomy, which successfully controlled sepsis and halted fistula output. After clinical optimization, the patient underwent open sigmoid resection, colovesical fistula takedown, and bladder repair, followed by colostomy reversal. At follow-up, he remained asymptomatic with normal bowel function. This case highlights an unusual presentation of complicated diverticulitis and demonstrates the effectiveness of a staged approach using transverse loop colostomy prior to definitive resection.
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