Fig. 42.1
Cystogram showing the fistulous communication with colon

Fig. 42.2
CT image showing colovesical fistula (air and debries in bladder)

Fig. 42.3
Colonoscopic image showing fistula (multiple small sigmoid diverticulae seen)

Fig. 42.4
Cystoscopic view of fistula near the fundus

Fig. 42.5
Initial view with distended bladder

Fig. 42.6
Adhesiolysis

Fig. 42.7
Sigmoid colon adherent to bladder

Fig. 42.8
Colon dissected away from bladder

Fig. 42.9
Dissection of bladder from colon in progress

Fig. 42.10

Dissection between bladder and sigmoid colon reveals fistula

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