A 54 year-old diabetic woman with left lower quadrand pain for one year. About one week before entering Medic Center, she got fever, cold and shivering and LLQ pain more and increasing CRP.
Abdominal ultrasound detected one left pelvic #46x56x64mm septated mass beside the sigmoid colon cannot ruling out an ovarian tumor.
MSCT confirmed a pelvic abscess with a high density foreign body inside # 2 mm.
Endoscopic surgery revealed an abscess due to colonobladder fistula. Then an open surgery performed to remove the pelvic abscess which was from an inflammed diverticulum and penetrated the urinary bladder, and to create an artificial anus at the LLQ and cystostomy. The foreign body could not find out.
Post-op the patient was getting better but still in urinary infection.
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