Treatment
Any abscess should be drained.
Surgery, if necessary, is dictated by the underlying cause:
- diverticulitis - bluntly dissect the colon from the bladder, resect it, and perform a primary anastomosis. If resection is not possible, consider a Hartmann's procedure.
- carcinoma - treat with care to ensure that tumour cells do not spill into the pelvis. Remove a disk of bladder wall in continuity with the colon, close the bladder, and catheterise for 7-10 days.
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