Presentation
CT performed to search for residual stones after ESWL of a ureter stone on the right and removal of the ureteric stent. Rectum resection for cancer performed 8 months earlier. Pneumaturia.
Patient Data
Age: 60 years
Gender: Male
From the case:
Colonic fistula
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Retrovesical abscess with gas inclusions. Intravesical air bubbles getting larger during the course of the examination. Small (3 mm) residual ureteric stone on the right. No contrast extravasation from the urinary system
From the case:
Colonic fistula
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The gas-filled abscess involves the prostate and seminal vesicles. There is a pathologic tract between the rectum and the abscess cavity. No direct recto-vesical fistula. Gas in the bladder comes from the prostatic urethra.
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