Complicated diverticulitis with colovesical fistula and bladder abscess formation in pregnancy: a case report

Abstract

Objectives: Diverticulitis, characterized by inflammation or infection of diverticula, is rarely observed during pregnancy due to its association with elderly patients. Limited literature exists regarding its diagnosis and management in pregnant patients, especially in the setting of complications. Case presentation: This paper presents a case of a 37-year-old multiparous woman diagnosed with complicated diverticulitis, including colovesical fistula and bladder abscess formation. Conclusions: This paper highlights the importance of considering diverticulitis in pregnant patients with abdominal pain, the need for timely diagnosis, and the significance of multidisciplinary care. of cases occur in adults under the age of 40 [2]. Given the age of pregnant people, this is a disease that is rarely seen within this patient population. Because of the rarity of diverticulitis, and the abundance of etiologies for abdominal pain, the diagnosis of diverticulitis in pregnancy is sometimes delayed or missed. This paper presents the novel case of diverticulitis complicated by a colovesical fistula and bladder wall abscess in a pregnant patient and its management from a multidisciplinary team. This paper also discusses the rarity of diverticulitis in pregnant patients, its increase in incidence in this patient population due to the rise of advanced maternal age, its clinical manifestations, and the challenges of diagnosis and management due to more common alternate possible causes of abdominal pain during pregnancy (Table 1).