Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Methodol. Jun 20, 2026; 16(2): 111784
Published online Jun 20, 2026. doi: 10.5662/wjm.v16.i2.111784
Published online Jun 20, 2026. doi: 10.5662/wjm.v16.i2.111784
Unforeseen consequence of colovesical fistula in diverticulitis presenting as septic cellulitis: A case report
Abheesh Varma Hegde, Sajal Gupta, Department of Urology and Renal Transplantation, Father Muller Medical College, Mangalore 575002, Karnātaka, India
L N Mohan, Department of General Surgery, Vydehi Medical College, Bangalore 560034, Kar
Anthony Rozario, Department of General Surgery, St. John’s Medical College Hospital, Bangalore 560034, Karnātaka, India
Author contributions: Hegde AV, Gupta S, Mohan LN, and Rozario A contributed to case diagnosis, surgery, data collection, and manuscript drafting; Gupta S conceptualized the case report and supervised manuscript revisions. All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Sajal Gupta, Department of Urology and Renal Transplantation, Father Muller Medical College, Kankanady, Mangalore 575002, Karnātaka, India.
Received: July 9, 2025
Revised: August 5, 2025
Accepted: December 10, 2025
Published online: June 20, 2026
Processing time: 288 Days and 16.5 Hours
Revised: August 5, 2025
Accepted: December 10, 2025
Published online: June 20, 2026
Processing time: 288 Days and 16.5 Hours
Core Tip
Core Tip: This report highlights a rare presentation of colovesical fistula (CVF) secondary to sigmoid diverticulitis, presenting as lower limb cellulitis with septic shock. Early suspicion, fecaluria recognition, and prompt imaging confirmed CVF. Laparotomy with bladder repair and Hartmann’s procedure ensured a favorable recovery. Clinicians should consider CVF in atypical presentations of sepsis, especially in elderly patients. This case emphasizes the significance of timely diagnosis and surgical planning in managing CVF.