CASE 127 An elderly woman with a prior history of diverticulitis complains of pneumaturia and passing foul-smelling urine. Fig. 127.1 Contrast-enhanced (A–C) axial and (D) coronal images show the presence of gas and fecal material (Fig. 127.1B, arrow) within the lumen of the urinary bladder. (D) A fistula between the bladder and the sigmoid colon (Fig. 127.1D, arrow) can be seen. Contrast-enhanced axial and coronal computed tomography (CT) images show the presence of gas within the lumen of the urinary bladder. There if fecal material within the bladder. A fistula between the bladder and the sigmoid colon is seen on the coronal image (Fig. 127.1). Colovesical fistula secondary to a prior episode of diverticulitis
Clinical Presentation
Radiologic Findings
Diagnosis
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