Radiation proctitis and rectovesical fistula

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

History of radiation therapy for pelvic malignancy.

Patient Data

Age: 50 years
Gender: Male

CT with rectal contrast reveals diffuse rectal thickening and a rectovesical fistula with rectal contrast entering the urinary bladder lumen.

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

Final diagnosis: Radiation proctitis with rectovesical fistula.

Thanks to Dr. Kapil Naik, my colleague at Goa, India

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