DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.063

Pages: 1135-1137

Colovesical fistula (CVF) is a rare but serious complication of advanced colorectal cancer. Clinical presentation typically includes pneumaturia and fecaluria. However, it can present with nonspecific symptoms, leading to delayed diagnosis. Imaging, particularly computed tomography (CT), plays a crucial role in detection and characterization. We report the case of a 74-year-old patient found to have a colovesical fistula secondary to sigmoid colon cancer, which was accurately diagnosed by radiological images. This case highlights the diagnostic value of CT in identifying both the tumor and associated fistula. Recognition of key imaging features is essential for early diagnosis and optimal management.