Clinical features

Patients with colovesical fistulas present with a spectrum of symptoms determined by fistula type, severity, and underlying aetiology. Urinary symptoms predominate and include pneumaturia, faecaluria, passage of foul-smelling urine, and dysuria.

These may be accompanied by fever, lower abdominal pain, nausea, and vomiting. Severe presentations include urosepsis and septic shock.

On examination, a pelvic mass be palpable and suprapubic tenderness is common.

Reference

1. Golabek T et al. Enterovesical fistulae: aetiology, imaging, and management. Gastroenterol Res Pract. 2013;2013:617967