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Background <p>Sigmoidovesical fistula (SVF), a rare form of colovesical fistula, predominantly arises from colorectal neoplasms, diverticulitis, or radiation injury. However, no previous literature documents Sigmoidovesical fistula (SVF) expansion with sepsis following transurethral resection of prostate (TURP).</p> Case presentation <p>We report a 73-year-old male with benign prostatic hyperplasia who developed SVF expansion and postoperative sepsis following TURP. Emergency transverse colostomy achieved infection control, followed by successful laparoscopic sigmoidectomy during secondary surgery.</p> Conclusion <p>This case highlights the need to remain vigilant for occult SVF risks during TURP procedures. Transverse colostomy should be prioritized as damage control surgery for fistula-related sepsis.</p>

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Sigmoidovesical fistula expansion with sepsis following transurethral resection of prostate: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月11日

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  • Jinlin Xie,
  • Yuguang Zhu,
  • Weiming Liu,
  • Jiarong Zeng,
  • Siping Liu

摘要

Background

Sigmoidovesical fistula (SVF), a rare form of colovesical fistula, predominantly arises from colorectal neoplasms, diverticulitis, or radiation injury. However, no previous literature documents Sigmoidovesical fistula (SVF) expansion with sepsis following transurethral resection of prostate (TURP).

Case presentation

We report a 73-year-old male with benign prostatic hyperplasia who developed SVF expansion and postoperative sepsis following TURP. Emergency transverse colostomy achieved infection control, followed by successful laparoscopic sigmoidectomy during secondary surgery.

Conclusion

This case highlights the need to remain vigilant for occult SVF risks during TURP procedures. Transverse colostomy should be prioritized as damage control surgery for fistula-related sepsis.