Colovesical fistula following sigmoid resection: A complex postoperative complication assessed by multimodal imaging.

Manuela Montatore, Federica Masino, Rossella Carpentiere, Gianmichele Muscatella, Marina Balbino, Giuseppe Guglielmi

Abstract readCase Reports

In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Manuela MontatoreDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, Foggia, FG 71122, Italy.

Federica MasinoDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, Foggia, FG 71122, Italy.

Rossella CarpentiereRadiology Unit, "Dimiccoli" Hospital, Viale Ippocrate 15, Barletta, BT 70051, Italy.

Gianmichele MuscatellaDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, Foggia, FG 71122, Italy.

Marina BalbinoDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, Foggia, FG 71122, Italy.

Giuseppe GuglielmiDepartment of Clinical and Experimental Medicine, Foggia University School of Medicine, Viale L. Pinto 1, Foggia, FG 71122, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colovesical fistula (CVF) is an uncommon but clinically significant complication of diverticular disease and colorectal surgery, particularly in the postoperative setting. We report the case of a 49-year-old man who developed pneumaturia and fecaluria following elective sigmoid resection for diverticulitis. Sequential imaging with contrast-enhanced computed tomography (CT) and a water-soluble contrast enema documented the progression from pelvic abscess formation to a well-defined colovesical fistula, with associated extensive soft tissue involvement. Serial CT examinations were crucial for identifying the fistulous tract, evaluating disease evolution, and guiding conservative management. This case highlights the key role of longitudinal multimodal imaging in the diagnosis and management of complex postoperative CVF.

Indexed as

Colorectal surgeryColovesical fistulaDiverticulectomyMultimodal imagingPostoperative complication

Identifiers

PMID42305366

DOI10.1016/j.radcr.2026.05.022

PMCPMC13267548

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.