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PEDIATRICS Vol. 102 No. 3 September 1998, pp. 654-656

EXPERIENCE AND REASON:
Colovesical Fistula Resulting From a Perforated Colonic Duplication

Received Oct 23, 1997; accepted Apr 21, 1998.

Ross M. Decter*

Karen M. KaplanDagger

Kathleen D. Eggli§

Thomas M. Krummel*

Departments of * Surgery, Dagger  Pediatrics, and § Radiology Pennsylvania State University College of Medicine Hershey, PA 17033

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.

 Key words:  enteric duplication, hindgut duplication, colovesical fistula.