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Colovesical fistula

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Recurrent urinary tract infections.

Patient Data

Age: 70 years
Gender: Female
Barium

Colonic diverticulae and early filling of the urinary bladder with thin fistulous track demonstrated. and then a large volume of barium within the urinary bladder, giving almost a lateral cystogram image.

Case Discussion

A colovesical fistulae is well illustrated with the extensive diverticular disease giving the clue to the almost certain cause.

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