Urology reports (St. - Petersburg)Urology reports (St. - Petersburg)2225-90742687-1416Eco-Vector11240910.17816/uroved112409Research ArticleColovesical fistula in a patient with diverticular disease and foreign body of the colonjSimanovRuslan N.<p>Postgraduate Student, Department of the Hospital Therapy of the Medical Institute; Urologist, Urology Department</p>Ruslansimanov@yandex.ruhttps://orcid.org/0000-0003-1246-7233FetyukovAlexey I.<p>Dr. Sci. (Med.), Head of the Department of Hospital Surgery, Ear, Nose, Throat diseases, Ophthalmology, Dentistry, Oncology, Urology of the Medical Institute; Surgeon, Surgery Department</p>fetukov@petrsu.ruhttps://orcid.org/0000-0001-7228-3618MalyshevViktor A.<p>Cand. Sci. (Med.), Urologist of the Consultative and Diagnostic Department with the male reproductive health care office</p>urologmalishev@mail.ruhttps://orcid.org/0000-0002-6375-2686KagachevPavel N.<p>Surgeon, Surgery Department</p>p.kagachev@mail.ruhttps://orcid.org/0000-0001-7213-417XBaryshevaOlga Yu.<p>Dr. Sci. (Med.), Professor of the Department of Hospital Therapy of the Medical Institute; Head of the Nephrology Department</p>hosptherapy@mail.ruhttps://orcid.org/0000-0002-2133-4849Petrozavodsk State UniversityV.A. Baranov Republican HospitalRepublican Perinatal Center220120231243633710711202227112022Copyright © 2023, Eco-Vector2023<p>A clinical observation of a 50-year-old patient with colonic diverticular disease with perforation of one diverticulum by a fish bone and the formation of a colovesical fistula is presented in the article. The history of the disease, clinical picture, the course of the disease, results of pre-hospital and hospital examination, methods of treatment of the patient were analyzed. The presented material is illustrated by MSCT images, photographs made during the surgical treatment, results of histological examination. Surgical treatment included lower midline laparotomy, resection of the sigmoid colon and bladder with complete removal of the fistula with a diverticulum and bone inside it as a single block, formation of a colostomy, suturing the bladder defect tightly with urethral drainage with a Foley catheter. There were no complications during the operation and in the early postoperative period, the patient was discharged at the usual time. At a later date, a reconstructive operation was performed with the restoration of the passage of intestinal contents, without complications. 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