Korean J Urol.  2006 Jun;47(6):674-678. 10.4111/kju.2006.47.6.674.

Colorectal Cancer with Sigmoidovesical Fistula that was Misdiagnosed as Bladder Cancer

Affiliations
  • 1Department of Urology, College of Medicine, The Ulsan University, Gangneung, Korea. jypark@gnah.co.kr
  • 2Department of Pathology, College of Medicine, The Ulsan University, Gangneung, Korea.

Abstract

Sigmoidovesical fistula is a rare disease. Most of these patients have symptoms of chronic and recurrent urinary tract infection, pneumaturia and fecaluria. Furthermore, colorectal cancer with enterovesical fistula is very rare in the population. We have recently experienced a patient who had adenocarcinoma that originated colon along with sigmoidovesical fistula, and this was misdiagnosed as bladder cancer with urinary tract infection. We present here a case report of a 66-year-old woman who exhibited these diseases.

Keyword

Fistula; Colorectal cancer; Adenocarcinoma

MeSH Terms

Adenocarcinoma
Aged
Colon
Colorectal Neoplasms*
Female
Fistula*
Humans
Rare Diseases
Urinary Bladder Neoplasms*
Urinary Bladder*
Urinary Tract Infections

Figure

  • Fig. 1 (A) Horizontal section of the computed tomography (CT) scan shows a 3.5cm sized sigmoid colon mass that has continuity to the bladder wall. (B) Horizontal section of the CT scan shows air in the bladder and a mass with hematomas.

  • Fig. 2 (A) The gross finding shows a colon mass protruding into the bladder cavity. The arrow indicates the fistula tract. (B) The microscopic findings show adenocarcinoma in the bladder (H&E stain, ×100). (C) The microscopic findings shows premalignant changes in the colon's glands (H&E stain, ×200).


Reference

1. Sanderson A, Jones PA. Urine culture in the diagnosis of colovesical fistula. BMJ. 1993. 307:1588.
2. Kavanagh D, Neary P, Dodd JD, Sheahan KM, O'Donoghue D, Hyland JM. Diagnosis and treatment of enterovesical fistulae. Colorectal Dis. 2005. 7:286–291.
3. Suh HJ, Chung HS, Oh KS, Lee DH, Cho DH, Kim YH. Vesicocolonic fistula. Korean J Urol. 1994. 35:804–808.
4. Kim SW, Park JS, Nam SB, Kim JJ, Kim SC. Vesicosigmoidal fistula caused by diverticulitis. Korean J Urol. 2005. 46:1221–1223.
5. Cho KS, Ra BJ, Oh JH. A case of vesicocolonic fistula. Korean J Urol. 1980. 21:86–89.
6. Posey JT, Neurander EZ, Soloway MS, Civantos F. Signet ring cell carcinoma of a pulled-through sigmoid colon mimicking a primary invasive bladder tumor: case report and review of the literature. Urology. 2000. 55:949.
7. Liu CH, Chuang CK, Chu SH, Chen HW, Chen CS, Chiang YJ, et al. Enterovesical fistula: experiences with 41 cases in 12 years. Changgeng Yi Xue Za Zhi. 1999. 22:598–603.
8. Hsieh JH, Chen WS, Jiang JK, Lin TC, Lin JK, Hsu H. Enterovesical fistula: 10 years experience. Zhonghua Yi Xue Za Zhi. 1997. 59:283–288.
9. Carne PW, Frye JN, Kennedy-Smith A, Keating J, Merrie A, Dennett E, et al. Local invasion of the bladder with colorectal cancers: surgical management and patterns of local recurrence. Dis Colon Rectum. 2004. 47:44–47.
10. Moss RL, Ryan JA Jr. Management of enterovesical fistulas. Am J Surg. 1990. 159:514–517.
Full Text Links
  • KJU
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr