PMC5337888_01
Abdominopelvic magnetic resonance imaging shows a complex mass containing a pocket of air in the pouch of Douglas.
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Abdominopelvic magnetic resonance imaging indicated a complex mass containing a pocket of air, which appeared to be separate from the uterus and was seen to penetrate the proximal part of the rectum (Figure 1).
(a) At laparotomy, a left ovarian mass (arrow) was found adhering to the rectosigmoid colon. (b) Resected specimen revealing perforation into the rectum.
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A laparotomy revealed a left ovarian mass adherent to the rectosigmoid colon (Figure 2(a)). In order to resect the tumor and fistula tract, we performed an en-bloc resection of the uterus, adnexa, and rectosigmoid colon (Figure 2(b)).
Microphotograph showing a well-differentiated squamous cell carcinoma (hematoxylin-eosin; x100).
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The International Federation of Gynecology and Obstetrics (FIGO) classification was stage IIB (Figure 3).