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Diverticular colovesical and colosalpingeal fistula. Laparoscopic resolution.
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Resumen
Introducción:La asociación de una fístula colo-vesical y colo-tubárica de origen diverticular es excepcional.
Caso clínico: Paciente de 70 años que se presenta con neumaturia, fecaluria y dolor hipogástrico, en la que se constata la presencia de una fístula colo-vesical y colo-tubárica izquierda de probable etiología diverticular. Se realizó un abordaje quirúrgico laparoscópico exitoso mediante sigmoidectomía y manejo conservador del polo urinario y genital.
Discusión: Luego de una complicación perforativa, el 10-20% de los pacientes pueden evolucionar a una fístula de origen diverticular. El tratamiento quirúrgico es de elección, siendo el abordaje laparoscópico un desafío técnico. Existen diversas opciones tácticas dependiendo del grado de afectación de las estructuras involucradas.
Conclusión: Se trata de una doble complicación excepcional, resuelta mediante un abordaje mínimamente invasivo.
Title: Diverticular colovesical and colosalpingeal fistula. Laparoscopic resolution.
Description:
Resumen
Introducción:La asociación de una fístula colo-vesical y colo-tubárica de origen diverticular es excepcional.
Caso clínico: Paciente de 70 años que se presenta con neumaturia, fecaluria y dolor hipogástrico, en la que se constata la presencia de una fístula colo-vesical y colo-tubárica izquierda de probable etiología diverticular.
Se realizó un abordaje quirúrgico laparoscópico exitoso mediante sigmoidectomía y manejo conservador del polo urinario y genital.
Discusión: Luego de una complicación perforativa, el 10-20% de los pacientes pueden evolucionar a una fístula de origen diverticular.
El tratamiento quirúrgico es de elección, siendo el abordaje laparoscópico un desafío técnico.
Existen diversas opciones tácticas dependiendo del grado de afectación de las estructuras involucradas.
Conclusión: Se trata de una doble complicación excepcional, resuelta mediante un abordaje mínimamente invasivo.
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