Presentation
Pneumaturia and faecaluria.
Patient Data
Previous contrast instilled into rectum delineates a communication between the lumen of the sigmoid colon and that of the bladder, filling it with this contrast. There is also the presence of small amount of gas within the lumen of the bladder.
Note that colon has diverticular disease.
Arrows show the communication between the lumen of the sigmoid colon and that of the bladder.
Case Discussion
A colovesical fistula is the presence of a communication between the lumen of the colon and that of the bladder, either directly or via an intervening abscess cavity.
This patient had similar case some months ago as a diverticulitis complication and was submitted to a right upper colostomy to treat it. This case represents a recidive of this fistula.
She was also submitted to a left nephrectomy some years ago due other reasons.
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