Penetrating Bladder Trauma Leading to a Rectovesical Fistula: A Rare Complication of Bicycle Handlebar Injury in a Paediatric Patient

An adolescent boy presented with a history of penetrating trauma from a bicycle handlebar injury to the left lower abdomen. A computed tomography (CT) scan and a diagnostic laparoscopy showed extraperitoneal bladder rupture, which was repaired. In the postoperative period, a micturating cystourethrogram revealed a rectovesical fistula (RVF), which was managed conservatively with a Foley catheter. This case depicts a rare complication of RVF in a case of penetrating trauma abdomen managed conservatively with a unique mechanism of injury.