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A colovesical fistula is an abnormal connection between the colon (large intestine) and the bladder (vesica urinaria). This rare condition allows urine to flow into the colon and feces to enter the bladder, leading to a range of symptoms and complications. Causes: Diverticulitis Inflammatory bowel disease (IBD) Cancer (colon, bladder, or rectal) Trauma (e.g., pelvic fracture) Surgical complications Symptoms: Pneumaturia (air in the urine) Fecuria (feces in the urine) Hematuria (blood in the urine) Abdominal pain Dysuria (painful urination) Frequency and urgency of urination Rectal pain Diarrhea or constipation Complications: Recurrent urinary tract infections (UTIs) Bladder infection (cystitis) Kidney damage Sepsis Peritonitis (inflammation of the lining of the abdominal cavity) Diagnosis: Imaging studies (e.g., CT scan, MRI) Cystoscopy (endoscopic examination of the bladder) Colonoscopy Urinalysis and culture Treatment: Surgery to repair the fistula Antibiotics for UTIs or other infections Supportive care (e.g., bowel rest, hydration) In some cases, a temporary colostomy or urinary catheter may be necessary. It's essential to seek medical attention if you experience any symptoms, as prompt treatment can help prevent complications and improve outcomes. #ColovesicalFistula #fistula