case_images: PMC5337888_01
case_images: Abdominopelvic magnetic resonance imaging shows a complex mass containing a pocket of air in the pouch of Douglas.
case_images: CRIOG2017-9793086.001.jpg
case_images: PMC5337888_01_CRIOG2017-9793086.001.jpg
case_images: fig1
case_images: 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).
case_images: (a) At laparotomy, a left ovarian mass (arrow) was found adhering to the rectosigmoid colon. (b) Resected specimen revealing perforation into the rectum.
case_images: CRIOG2017-9793086.002.jpg
case_images: PMC5337888_01_CRIOG2017-9793086.002.jpg
case_images: fig2
case_images: 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)).
case_images: Microphotograph showing a well-differentiated squamous cell carcinoma (hematoxylin-eosin; x100).
case_images: CRIOG2017-9793086.003.jpg
case_images: PMC5337888_01_CRIOG2017-9793086.003.jpg
case_images: fig3
case_images: The International Federation of Gynecology and Obstetrics (FIGO) classification was stage IIB (Figure 3).