Related Experiment Video
Updated: Jul 19, 2026

A Coregistered Ultrasound and Photoacoustic Imaging Protocol for the Transvaginal Imaging of Ovarian Lesions
Published on: March 3, 2023
Ascites, elevated CA 125, and a large adnexal mass with an enteroovarian fistula
Heather A Robertson1, Veronica Velasco, Carolina Gutierrez
1Department of Gynecologic Oncology, Baylor College of Medicine, Houston, TX 77030, USA.
Background:
Rectovaginal and vesicovaginal fistulae occur commonly in human immunodeficiency virus (HIV)-positive women and typically present with a characteristic vaginal discharge.
Case:
We report a case of a jejunal-ovarian fistula presenting as suspected malignancy in a 38-year-old woman with HIV. The patient presented with ascites, moderately elevated CA 125, and a 12-cm adnexal mass. She was expedited to surgery secondary to a persistent pelvic mass and the patient's desire for definitive treatment. We believe the patient's immunocompromised state caused a microperforation in the small bowel, which subsequently formed a fistula to the ovary. The patient's left adnexa was removed, along with a 3-cm portion of small bowel.
Conclusion:
Uncommon entities should be included in the differential diagnosis of pelvic masses in immunocompromised women.
Related Concept Videos
Appendicitis
Ascites
Ovaries
On the ovarian surface, a layer of cuboidal...
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Oogenesis
