Related Experiment Video
Updated: Jun 10, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Perforation of a malignant ovarian tumor into the recto-sigmoid colon
Anne-Sophie Bats1, Andrea G Rockall, Naveena Singh
1Department of Gynaecological Oncology, St Bartholomew's Hospital, West Smithfield, London, UK. Anne-Sophie.Bats-Mongardon@bartsandthelondon.nhs.uk
Abstract:
Ovarian cancer often presents at an advanced stage, but tends to be an intra-peritoneal disease that respects peritoneal planes. Thus, colo-rectal perforation of the tumor is an extremely rare presentation. The surgical treatment of malignant colo-ovarian fistula should include complete cyto-reduction at the same time as the treatment of the fistula. However, prognosis remains poor, because of the advanced stage of neoplasia. We report the case of a patient with an ovarian malignant tumor perforating into the recto-sigmoid colon. CT scan was the cornerstone of the radiological diagnosis. We managed to perform a complete cyto-reduction, including an en-bloc resection of the uterus, the mass, adnexa and recto-sigmoid with removal of the associated pelvic abscess.
Related Concept Videos
Diverticular Disease of the Colon
Intestinal Obstruction II: Pathophysiology
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Intestinal Obstruction I: Introduction
Peritoneum
Anatomy of the Peritoneum
The peritoneum is divided into two layers: the parietal peritoneum and the visceral...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:

