Urachal-sigmoid fistula associated with diverticular disease

Authors

  • Daniel Rapoport Departments of Urologic Sciences, University of British Columbia, Vancouver, BC
  • Alison Ross Department of Surgery, University of British Columbia, Vancouver, BC
  • Vic Goshko Department of Surgery, University of British Columbia, Vancouver, BC
  • Iain McAuley Division of Urology, Vancouver Island Health Authority, Royal Jubilee Hospital, Victoria BC

DOI:

https://doi.org/10.5489/cuaj.40

Abstract

Background: Urachal anomalies rarely present in adulthood. We report thesecond known case of urachal-sigmoid fistula associated with diverticulardisease.

Method: We performed a case report and literature review. We searchedMEDLINE and PubMed using the search words “urachus,” “urachal fistula,”“sigmoid colon” and “diverticulosis.”

Results: Our literature review revealed 1 previous report of urachal-sigmoidfistula associated with diverticular disease. We reviewed other publications withrespect to pathophysiology, diagnosis and management of urachal disease.

Conclusion: Urachal disease that presents in an adult is usually the result of somecomplication of a urachal anomaly. Various modes of imaging may help confirmthe diagnosis, although CT sinography has been recommended and waskey in the present case. Management includes eradication of infection and, usually,surgical intervention.

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Author Biography

Alison Ross, Department of Surgery, University of British Columbia, Vancouver, BC

Department of Surgery, University of British Columbia, Vancouver, BC

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Published

2012-12-10

How to Cite

Rapoport, D., Ross, A., Goshko, V., & McAuley, I. (2012). Urachal-sigmoid fistula associated with diverticular disease. Canadian Urological Association Journal, 1(1). https://doi.org/10.5489/cuaj.40

Issue

Vol. 1 No. 1 (2007): CUAJ March

Section

Case Report

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