An interesting case of colovaginal fistula.

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A 62 year old lady presented with history of recurrent urinary tract infection since six months , left lower abdominal pain since 3 months and occassional faeculent discharge per vaginum since 1 month. On examination there was tenderness in left iliac fossa. CT abdomen showed sigmoid diverticulitis with microperforation and pericolic abscess formation. She underwent laparotomy , dismantling of colovaginal fistula, primary closure of vaginal opening and anterior resection.
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Tags: Gastroenterology