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(a) Sagittal and (b) axial T2-weighted images. Slight enhancement in (c) sagittal and (d) axial MRI with contrast and FAT SAT. (e) During straining.
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The patient had an abdominal ultrasound scan with a pelvic magnetic resonance imaging (MRI) that showed a mass of the rectovaginal septum spread over 7 cm descending through the vagina while straining (Figure 1).
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Surgical procedure: (a and b) perineal mass seeming to be a rectocele, (c) posterior colpotomy, (d) resection by rectal shaving, (e) supplementary colpectomy and (f) final view.
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Complete excision was done (Figure 2).
(a and b) Normal MRI after 6 months and (c and d) recurrence after 1 year.
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