PMC7876919_01
Intraoperative findings of colovescical fistulas: a-b) male patient with a wide colovescical fistula (arrows); we performed a blunt dissection in order to avoid vascular or visceral injuries; c) double line adsorbable barbed suture; d) complete view of the bladder suture and colonic anastomosis (arrows); e) female patient with subcentimetric fistula and its position respect to uterus (arrows); f) course of the hypogastric vessels (dotted line).
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fig0005
On laparoscopic exploration of abdominal cavity the sigmoid colon appeared convoluted and with thickened wall firmly attached to the bladder dome configuring a picture of severe diverticular inflammation (Fig. 1).