{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T18:54:02Z","timestamp":1769540042176,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Colovesical fistula is a recognized complication of diverticulitis, but progression to testicular ischaemia is, to our knowledge, an unreported phenomenon. While colovesical fistulas occur in diverticular disease, the spread of infection to the testes is rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 47\u2010year\u2010old male with recurrent diverticulitis presented with abdominal pain and was found to have a pelvic abscess. Despite conservative management, the patient developed pneumaturia, dysuria, and right testicular pain. Preoperative scrotal ultrasonography with color Doppler demonstrated globally reduced but present intratesticular arterial flow; a decision was made to prioritize definitive source control of the colovesical fistula with laparoscopic anterior resection and defunctioning ileostomy. Repeat Doppler on Day 7 demonstrated complete absence of arterial flow to the right testis, necessitating orchiectomy for inflammatory necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We report what is, to our knowledge, the first documented case. This case highlights the need for vigilance for genitourinary symptoms in diverticulitis. Prompt recognition is vital to prevent irreversible testicular loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70143","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T02:49:31Z","timestamp":1769136571000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Testicular Ischaemia Following Diverticulitis Complicated by Colovesical Fistula: A Case Report"],"prefix":"10.1002","volume":"9","author":[{"given":"Kyle R.","family":"Joseph","sequence":"first","affiliation":[{"name":"Department of Surgery Nepean Hospital  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parul","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Surgery Nepean Hospital  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romanthi","family":"Madawala","sequence":"additional","affiliation":[{"name":"School of Medicine University of New South Wales  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bushra","family":"Othman","sequence":"additional","affiliation":[{"name":"Department of Surgery Nepean Hospital  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6827-0088","authenticated-orcid":false,"given":"Femi E.","family":"Ayeni","sequence":"additional","affiliation":[{"name":"Department of Surgery Nepean Hospital  Penrith New South Wales Australia"},{"name":"Nepean Institute of Academic Surgery, Nepean Clinical School The University of Sydney  Kingswood New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewan","family":"MacDermid","sequence":"additional","affiliation":[{"name":"Department of Surgery Nepean Hospital  Penrith New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-016-0532-3"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-5089(21)00103-6"},{"issue":"2","key":"e_1_2_11_4_1","article-title":"Right\u2010Sided Epididymo\u2010Orchitis as a Presentation of Diverticular Colovesical Fistula","volume":"15","author":"Sidhu K.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2022.102281"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/IPC.0b013e3180caa10a"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.03.012"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003840050135"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.08.016"},{"key":"e_1_2_11_10_1","doi-asserted-by":"crossref","unstructured":"D. S.SidhuandC.Byrne \u201cRight\u2010Sided Epididymo\u2010Orchitis as a Presentation of Diverticular Colovesical Fistula \u201d(2023).","DOI":"10.7759\/cureus.35376"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.16965\/ijims.2016.132"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119421344.ch74"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1258\/095646203765371240"},{"issue":"1","key":"e_1_2_11_14_1","first-page":"22","article-title":"Testicular Infarction: A Rare Complication of Epididymo\u2010Orchitis","volume":"16","author":"Karam\u0131k K.","year":"2025","journal-title":"Journal of Emergency Medicine Case Reports"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-57847-2_4"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-023-04500-1"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/iju5.70143","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T05:08:06Z","timestamp":1769490486000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.70143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/iju5.70143"],"URL":"https:\/\/doi.org\/10.1002\/iju5.70143","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70143"}}