Colorectal carcinoma with recto-vesical fistula

Case contributed by Dr Prashant Gupta

Patient Data

Age: 40 years old
Gender: Male

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 visualized on saggital thin section MIP images.

Case Discussion

The most common causes of colovesical fistula are diverticulitis and colorectal carcinoma.

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Case information

rID: 17709
Published: 7th May 2012
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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