A fistula is an abnormal connection between two epithelial surfaces. This results in infection spreading from one surface to another. The fistula can communicate between two internal organs or lead from an organ to the surface of the body. The signs of a vesicocolic abscess are air bubbles in the urine and dirty urine. The diagnosis of diverticular abscess requires investigation because other factors can result in a fistula, namely Crohn's disease. Surgery is the most appropriate course of action with a diverticular fistula, involving resection of the diseased section of colon, repair to the other organ and a primary anastomosis. Alternatively, if a primary anastomosis is not appropriate, a colostomy will allow the fistula to heal and the bowel to be rested.
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