Objectives: Diverticulitis, characterized by inflammation or infection of diverticula, is rarely observed during pregnancy due to its association with elderly patients. Limited literature exists regarding its diagnosis and management in pregnant patients, especially in the setting of complications.

Case presentation: This paper presents a case of a 37-year-old multiparous woman diagnosed with complicated diverticulitis, including colovesical fistula and bladder abscess formation.

Conclusions: This paper highlights the importance of considering diverticulitis in pregnant patients with abdominal pain, the need for timely diagnosis, and the significance of multidisciplinary care.

Keywords: abdominal pain; abscess; diverticulitis; fistula; pregnancy.

© 2024 the author(s), published by De Gruyter, Berlin/Boston.

目标： 弥漫性憩室炎，其特点是憩室发炎或感染，由于与老年患者相关，在怀孕期间很少被观察到。关于在怀孕患者中诊断和治疗方面的文献非常有限，特别是在并发症的情况下。

病例介绍： 本文报告了一例37岁多产女性复杂性憩室炎的案例，包括结肠膀胱瘘和膀胱脓肿形成。

结论： 本文强调了在怀孕期间出现腹痛患者中考虑憩室炎的重要性、及时诊断的需求以及跨学科治疗的意义。

关键词： 腹痛；脓肿；憩室炎；瘘管；妊娠。

© 2024 the author(s), published by De Gruyter, Berlin/Boston.