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December 19, 1977

Bladder Fistula

Author Affiliations

From the Departments of Radiology, Northwestern Memorial Hospital, Chicago (Drs Mintzer and Neiman), and Walter Reed Army Medical Center, Washington, DC (Col Reeder).

JAMA. 1977;238(25):2723-2724. doi:10.1001/jama.1977.03280260053022


  1. Congenital anal atresia

  2. Crohn's disease

  3. Diverticulitis

  4. Malignant neoplasm of colon, bladder, or reproductive system

  5. Postoperative or postpartum complications

  6. Radiation therapy

  7. Trauma


  1. Appendicitis

  2. Embedded stone eroding through bladder wall

  3. Foreign body

  4. Lymphogranuloma venereum

  5. Pelvic inflammatory disease, endometritis

  6. Schistosomiasis

  7. Tuberculous enterocolitis

  8. Ulcerative colitis

Diagnosis  Intestinovesical fistula secondary to Crohn's disease.

Comment  Figure 1, roentgenogram of the pelvis obtained with the patient in the supine position during an intravenous pyelogram, demonstrates a collection of gas in the urinary bladder and an irregular filling defect in the superior wall of the bladder. Figure 2 is a selected view from a combined barium examination of the small bowel and colon demonstrating an ulcerated stenotic loop of ileum with a fistulous communication to the urinary bladder and a colovesical fistula. Figure 3 is a roentgenogram of