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Colorectal carcinoma with recto-vesical fistula

Case contributed by Prashant Gupta
Diagnosis certain

Patient Data

Age: 40 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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 the wall of the mass. it is better visualized on sagittal thin section MIP images.

Case Discussion

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

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