Rectovesical fistula due to rectal carcinoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Metastatic rectal adenocarcinoma which presented with passage of urine rectally.

Patient Data

Age: 60
Gender: Male

There is tumoural thickening of rectal wall with involvement of the adjacent bladder wall. You can see gas within the lumen of the bladder. There is a communication (fistula) between the lumen of the rectum and that of the bladder. On the delayed phase, intravesical contrast is visible in the tumoural rectum.

There is also a large metastatic lesion to the lower lobe of the right lung.

Case Discussion

The findings are compatible with rectovesical fistula in a patient with invasive and metastatic rectal adenocarcinoma.

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Case information

rID: 21274
Case created: 13th Jan 2013
Last edited: 29th Nov 2015
Inclusion in quiz mode: Included

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