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