Acute, late presentation of colo-continent urinary reservoir fistula

Complications associated with continent urinary reservoirs are well recognised. Fistulae between the pouch and colon are rare but are documented. This uncommon complication is reported in the early post-operative period in patients who have previously received pelvic radiotherapy. Colonic fistulae are normally secondary to malignancy or diverticular disease. We present the first literature report of a late, acutely presenting colo-pouch fistula secondary to neither malignancy nor diverticular disease. We highlight the need for medical staff to be aware that not all stomas are incontinent and the possible dangers to be aware of when an acutely unwell, debilitated patient is unable to convey this fact.