Colovesical fistula complicating diverticular disease: Diagnosis and surgical management in elderly

Colovesical fistula (CVF) is pathological communication between the bladder and the large intestine, usually the sigmoid colon. CT is the preferred diagnostic imaging modality owing to its high sensitivity (over 90%). The surgical management of DD has evolved but still remains governed by clinical classification, namely, recurrent uncomplicated disease versus complicated disease In conclusion CT was the most sensitive and accurate exam to diagnose CVF in the cases. Then, we suggest CT as a first line investigation in all patients with suspected CVF