Clinical features of colorectal cancer complicated by invasion in the urinary system

Written by Frank M.A., Demidov S.M., Murzin M.O., Sanzharov A.E., Korotkov P.B.

  UDK: 616.62-006-06:616.62-007.253:611.345 | Pages: 46–48 | Full text PDF | Open PDF 


Background. Colorectal cancer (CRC) is able to grow into any adjacent organs and tissues, particularly into the urinary system causing formation of pathological fistula.
Methods. A retrospective analysis of 321 cases of CRC showed 15 patients (4.7 %) who had suspected spread of the tumor in the urinary system at any stage of diagnostic search.
Results. In 9 cases it was detected the genuine invasion of the CRC into the bladder with the formation of colovesical fistula in 5 cases. In the clinical picture in similar observations it was recorded the body temperature rise to 39–40°C, dysuria, pneumaturia, and fecaluria.
Conclusions. Invasion into the bladder is found in 2.8 % of cases of CRC. Combination of fever and dysuria in patients with colorectal cancer, especially if these symptoms have stages, provide a reliable criterion for tumor invasion into the bladder. Only computed tomography of the abdominal cavity, retroperitoneal space and pelvis with intravenous contrast enables to establish the presence of colovesical fistula and its topographic and anatomical features.

Links to authors:
M.A. Frank1, 2, S.M. Demidov1, 2, M.O. Murzin1, A.E. Sanzharov1, P.B. Korotkov1
1 City Clinical Hospital No. 40 (189 Volgogradskaya St. Ekaterinburg 620120 Russian Federation),
2 Ural State Medical University (3 Repina St. Ekaterinburg 620028 Russian Federation)

1. Shirokorad V.I. Surgical treatment of locally advanced tumors of the pelvic organs. М.: Meditsina Shiko, 2008. 191 p.
2. Garcea G., Majid I., Sutton C.D. [et al.]. Diagnosis and management of colovesical fistulae; sixyear experience of 90 consecutive cases // Colorectal Dis. 2005. Vol. 8, No. 4. P. 347–352.


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