Colon CT Appearances

Colovesical Fistula CT Findings

• Colonic and vesicular wall thickening or fistulous tract
• Air in the bladder
• Best seen with CT cystogram

Other Information About Colovesical Fistula

Etiology:

• Diverticular disease
• Crohn’s disease
• Trauma

Epidemiology:

• More commonly affects men
• 6th-7th decades of life

Presentation:

• Pneumaturia
• Fecaluria
• Recurrent UTIs
• Suprapubic pain

Prognosis:

• Can be repaired with surgery

Related Pearls: Colovesical Fistula