Colovesical fistula

Case contributed by Dr Bruno Di Muzio

Presentation

Pneumaturia and faecaluria.

Patient Data

Age: 68
Gender: Female
CT

CT Abdomen and pelvis

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. 

Annotated image

Arrows show the communication between the lumen of the sigmoid colon and that of the bladder.

Case Discussion

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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Case information

rID: 30384
Case created: 6th Aug 2014
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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