Sigmoido-Gluteal Fistula - A Rare Complication in Clinically Asymptomatic Chronic Diverticulitis

Chronic colonic diverticulitis may be associated with typical complications such as local abscesses, stenosis, bleeding, intraperitoneal bowel perforations or fistulas to other organs. Most commonly, fistulas exist between the colon and the bladder; nevertheless, they may also extend to the small in...

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Bibliographic Details
Published in:Acta chirurgica belgica 2011-07, Vol.111 (4), p.232-235
Main Authors: FEHMER, T, CITAK, M, SCHILDHAUER, T. A
Format: Article
Language:English
Subjects:
Abscess - etiology
Biological and medical sciences
Buttocks
Chronic Disease
Diverticulitis, Colonic - complications
Female
Fistula - etiology
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Intestinal Fistula - etiology
Medical sciences
Middle Aged
Other diseases. Semiology
Sigmoid Diseases - etiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
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Summary:Chronic colonic diverticulitis may be associated with typical complications such as local abscesses, stenosis, bleeding, intraperitoneal bowel perforations or fistulas to other organs. Most commonly, fistulas exist between the colon and the bladder; nevertheless, they may also extend to the small intestine, other areas of the colon, ureter, uterus, salpinx, vagina, abdominal wall, portal- and mesenterial venous system, pleura, urachus, biliary system and the hip. We report on a patient with chronic colonic diverticulitis having an unusual sigmoido-gluteal fistula along the sacrum, the piriformis muscle and sciatic nerve. The patient presented with sciatic nerve symptoms and recurrent gluteal abscess formation, but no other clinical symptoms leading to an abdominal pathology. Initially, that fact caused an unsuccessful local treatment under the differential diagnosis of a local gluteal abscess for about a year. Finally, a sigmoid colon resection with end-to-end anastomosis and a proximal diverting stoma was performed. The colostomy was closed electively five months later without any complication.
ISSN:0001-5458
DOI:10.1080/00015458.2011.11680744