CASE 826: COLONOURINARY BLADDER FISTULA due to DIVERTICULITIS , Dr PHAN THANH HẢI, Dr NGUYỄN KIM HIẾU, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 51 year-old man with dysuria with bloody urine for 2 weeeks.

Ultrasound detected thickening wall of sigmoid colon which adhered the urinary bladder. And there was a fistula between with air into the urinary bladder.

MSCT  and cystoscopy confirmed a colonourinary fistula.

Result of specimen post-op of the endoscopic surgery was a perforated diverticulitis which made a fistula into the  urinary bladder wall.