Presentation
Passing of fecal matter in the urine
Patient Data
Segmental mild heterogeneously enhancing bowel wall thickening of the
sigmoid colon with mild surrounding inflammatory changes. There is ~ 2.3 x
0.6cm sized fistulous tract between the thickened sigmoid colon and adjacent
urinary bladder wall in the fundal region on the right side with a resultant air-fluid level in the
urinary bladder lumen. Mild focal enhancing asymmetrical wall thickening of urinary
bladder wall along the right lateral wall, likely
reactive thickening. There is also the possibility of localized sealed perforation in the
thickened sigmoid colon with a resultant small collection of size ~ 3.4 x 2.5 cm. No
significant enlarged surrounding lymphadenopathy was seen.
The radical specimen histopathological report.
Case Discussion
Colorectal carcinoma is one of the common causes of colovesical fistula.
Co-author: Dr Prabhat Ranjan (M.ch Urology).
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