PMC9646317_01
Sagittal and coronal CT imaging of colovesical fistula extending from the sigmoid colon to the left mid bladder.
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fig1
Computed tomography (CT) of the abdomen and pelvis revealed sigmoid and bladder wall thickening, intravesicular gas, and a previously undiagnosed colovesical fistula (shown in Figure 1).
Endoscopic image of an area of indurated tissue 20 cm from the anal verge concerning the fistula.
CRIGM2022-1419250.002.jpg
PMC9646317_01_CRIGM2022-1419250.002.jpg
fig2
Colonoscopy showed old blood, sigmoid diverticulosis, and an area of indurated tissue 20 centimeters from the anal verge concerning for the fistula (shown in Figure 2).