Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2018; 6(12): 538-541
Published online Oct 26, 2018. doi: 10.12998/wjcc.v6.i12.538
Colovesical fistula as the initial manifestation of advanced colon cancer: A case report and review of literature
Małgorzata Skierucha, Wojciech Barud, Jerzy Baraniak, Witold Krupski
Małgorzata Skierucha, Wojciech Barud, Jerzy Baraniak, Department of Internal Diseases, Medical University of Lublin, Lublin 20-081, Polen (POL), Poland
Witold Krupski, Department of Radiology, Medical University in Lublin, Lublin 20-081, Polen (POL), Poland
Author contributions: Skierucha M and Barud W made equal contribution in the study concept, collecting data and writing the paper. Baraniak J and Krupski W took part in diagnostics and provided imaging data.
Informed consent statement: Written informed consent to colostomy was obtained from the patient before the operation.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Małgorzata Skierucha, MD, Doctor, Department of Internal Diseases, Medical University of Lublin, Staszica 11, Lublin 20-081, Polen (POL), Poland. malgorzata.skierucha@gmail.com
Telephone: +48-81-5327717 Fax: +48-81-5327717
Received: July 4, 2018
Peer-review started: July 4, 2018
First decision: August 20, 2018
Revised: September 13, 2018
Accepted: October 10, 2018
Article in press: October 10, 2018
Published online: October 26, 2018
Processing time: 114 Days and 23.8 Hours
Core Tip

Core tip: Colovesical fistulas are a rare complication of very advanced cancers of the abdominal or pelvic cavity. This article presents a case of a female patient whose first manifestation of colon cancer was a misleading watery diarrhea, which was later found to be urination through a pathologic junction between the bladder and distal colon.