Colorectal carcinoma with recto-vesical fistula
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A large rectal mass is seen with ulceration and perirectal soft tissue nodules.
Multiple air bubbles are noted in the urinary bladder, the patient denied having been catherised.
On delayed phase a tiny fistula is seen connecting the bladder to wall of the mass. it is better visualised on saggital thin section MIP images.
- Teaching Atlas of Urologic Imaging edited by Robert Older, Matthew Bassignani