Triple Colonic Fistula Due to Complicated Diverticular Disease and Its Surgical Management

Diverticular colon disease is the most common cause of colovesical fistulas, a rare and complex entity in their diagnosis and treatment. This report details the case of a 56-year-old patient who had presented with pneumaturia and gas in the vagina for six years and exudate in the abdominal wall in a midline wound. Given the suspicion, the diagnosis of the triple colonic fistula was confirmed by imaging studies: enteroatmospheric, colovesical, and colotubal, which were managed surgically.