Fig. 2

66-year-old male patient with history of colon cancer, underwent surgical resection and colostomy and received radiotherapy, presented with recurrent attacks of UTI, referred for assessment of the distal loop pre-stomal reversal, WSCE was performed followed by complimentary CT study. A and B Lateral and left oblique views of water-soluble contrast enema under fluoroscopic guidance showed opacification of the urinary bladder during administration of the rectal contrast. C and D Axial and sagittal CT study of the pelvis with MIP reconstruction after administration of water-soluble contrast enema revealed the presence of small fistulous communication (blue arrows) between the left aspect of bladder base and the lower rectum. Based on the imaging findings, the surgical management plan was fistulectomy and postponing the stoma reversal