True regarding colovesical fistula

A. Most commonly presents with pneumaturia

B. Most commonly caused by colonic cancer

C. More common in females

D. Readily diagnosed on barium enema

Correct Answer: Most commonly presents with pneumaturia

Description: .* Left sided growth presents with colicky pain, altered bowel habits (alternating constipation and diarrhoea), palpable lump, distension of abdomen due subacute/ chronic obstruction. Later may present like complete colonic obstruction. Tenesmus, with passage of blood and mucus, with alternate constipation and diarrhoea, is common. Bladder symptoms may warn colovesical fistula. ref:SRB&;s manual of surgery ,ed 3,pg no 838

Category: Surgery

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