**1. Introduction**

The colotubal (or colosalpingeal or salpingo-intestinal) fistula occurs in 2% of the cases with fistulas secondary to diverticular disease [1]. The initial symptoms of this disease are not specific, but this complication must be suspected in patients with persistent or recurrent vaginal discharge and a history of diverticular disease. The specific diagnostic tests for this condition are computed tomography (CT) scan and hysterosalpingography. The management options depend on the patient´s age and desire to preserve fertility. We report a case of a menopausal women with known diverticular disease and colosalpingeal fistula, managed in our gynecology department, with a review of the literature.
