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Diverticular Colovesical Fistula Presenting as Recurrent Epididymoorchitis

Bhanot, Nitin MD; Lodha, Ankur MD; Wynberg, Jason B. MD; Chapnick, Edward K. MD

Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3180caa10a
Case Reports
Abstract

A 45-year-old man presented with left epididymoorchitis. Urine cultures grew Escherichia coli, and he was prescribed oral ciprofloxacin. He returned in 2 weeks with right epididymoorchitis that persisted despite another antibiotic course. History suggestive of fecaluria and abdominal pain prompted us to obtain a computed tomography scan of the abdomen, which revealed a colovesical fistula. This presentation is the third reported case of epididymitis as a presentation of colovesical fistula, but first to have epididymoorchitis as the presenting sign.

Colovesical fistulae are most commonly associated with diverticulitis. We present a case of recurrent acute epididymoorchitis resulting from a colovesical fistula.

Author Information

Maimonides Medical Center, Brooklyn, NY.

Address correspondence and reprint requests to Nitin Bhanot, MD, Maimonides Medical Center. E-mail: nitinbhanot@gmail.com.

© 2008 Lippincott Williams & Wilkins, Inc.