ABSTRACT: Colovesical fistula is an abnormal connection between the enteric and urinary systems, usually sigmoid colon, caused by various
conditions. One cause of colovesical fistula is iatrogenic injury, such as induced by inguinal hernia surgery. We present
a case of colovesical fistula. A 57-year-old male was admitted to a local hospital with complaints of dysuria and pneumaturia.
He had a past history of total extraperitoneal laparoscopic inguinal hernia repair operation 7years previously for bilateral
inguinal hernia. The case was assessed with radiologic and scintigraphic techniques. Radiologic techniques (plain abdominal
radiography, intravenous pyelogram, ultrasound examination, double-contrast barium enema, CT, MRI) were inadequate to determine
the colovesical fistula. The colovesical fistula was visualized with direct radionuclide voiding cystography as an alternative
Annals of Nuclear Medicine 04/2012; 23(7):693-696. · 1.50 Impact Factor