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Original Article

Excavated mass and double tracking in the sigmoid colon due to colocolic fistula complicating diverticulitis.

Authors:

Gh Maheshe Balemba ,

Department of Radiology, Cliniques de l’Europe/Europa Ziekenhuizen, site Ste Elisabeth, Brussels, Belgium
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J Pringot,

Department of Radiology, Cliniques de l’Europe/Europa Ziekenhuizen, site Ste Elisabeth, Brussels, Belgium
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K Van Belle,

Department of Surgery, Cliniques de l’Europe/Europa Ziekenhuizen, site Ste Elisabeth, Brussels, Belgium
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L Legrand,

Laboratory of Pathology, Cliniques de l’Europe/Europa Ziekenhuizen, site Ste Elisabeth, Brussels, Belgium
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P Matthys

Department of Radiology, Cliniques de l’Europe/Europa Ziekenhuizen, site Ste Elisabeth, Brussels, Belgium
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Abstract

We report on a patient admitted for work up of prostatic carcinoma in which CT study showed an excavated mass involving the sigmoid colon and the bladder dome. Barium enema showed a double track pattern associated with diverticular disease. By surgery the mass was separated from the urinary bladder and the sigmoid resected. On pathological exam diverticulitis was evident as well as an organised colocolic fistula in the thickened fibrotic subserosal fat. The usefulness of opacifying the colon is highlighted.

Keywords: Fistula ,   colonic  
How to Cite: Balemba GM, Pringot J, Belle KV, Legrand L, Matthys P. Excavated mass and double tracking in the sigmoid colon due to colocolic fistula complicating diverticulitis.. Journal of the Belgian Society of Radiology. 2012;95(5):325–8. DOI: http://doi.org/10.5334/jbr-btr.683
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Published on 01 Sep 2012.
Peer Reviewed

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