Patients with suspected colovesical fistula often undergo a series of expensive diagnostic tests and procedures, each of which have limitations. No consensus exists on the best approach to diagnosis.

Secondary aortoenteric fistula (SAF) is an uncommon but very important complication of abdominal aortic reconstruction. The complication often occurs months to years after aortic surgery.

We present a case of a giant supratrigonal VVF repaired using an abdominal (suprapubic) transperitoneal transvesical approach. Simple 1. Fistula measures < 2 to 3 cm and is near the cuff ...