A rare diverticular fistula is reported in a 37-year-old woman. The ca
se history and literature were reviewed for clinical presentation, rad
iologic investigations, and treatment options. Internal fistulas may c
omplicate diverticular disease. The least common fistula is between th
e colon and the fallopian tube, Successful management of this complica
tion is directed at removing the diseased colon, The woman had a salpi
ngocolonic fistula secondary to diverticulitis. To our knowledge, she
represents the youngest patient with this complication of diverticular
disease in the literature, Diagnosis of a salpingocolonic fistula com
plicating diverticular disease requires clinical suspicion when genito
urinary symptoms complicate the clinical presentation. Hysterosalpingo
graphy or contrast injection of percutaneous drainage tubes may contri
bute to the diagnosis.