A case of late-diagnosed colovesical fistula leading to complete colonic obstruction and urethral fecal diversion

Colovesical fistula (CVF) typically manifests with pneumaturia or fecaluria and is diagnosed promptly. We present an exceptionally rare and severe manifestation of CVF resulting from a 10-year diagnostic delay, which culminated in extraordinary complications, scarcely documented in contemporary literature. A 42-year-old Arab male from Syria was diagnosed with a colovesical fistula (CVF) after 10-year diagnostic delay. This protracted interval resulted in the development of a fistula measuring ap