Colovesical Fistula Resulting From a Perforated Colonic Duplication

Decter, Ross M. MD
Kaplan, Karen M. MD
Eggli, Kathleen D. MD
Krummel, Thomas M. MD

Departments of (Decter, Krummel) Surgery, (Kaplan) Pediatrics, and (Eggli) Radiology; Pennsylvania State University College of Medicine; Hershey, PA 17033
Received for publication Oct 23, 1997; accepted Apr 21, 1998.
Reprint requests to (K.M.K.) Department of Pediatrics H085, PO Box 850, Hershey, PA 17033

Pediatrics 102(3):p 654-656, September 1998.

Colovesical fistulas in children are most often associated with high anorectal imperforations. Acquired enterovesical fistulas in children only rarely have been reported as a consequence of an inflammatory process. We present a case of an acquired colovesical fistula formed by the erosion of an abscess at the distal end of a colonic duplication in a child who presented with fever of unknown origin. Pediatrics 1998;102:654-656.