부산대학교 도서관

A 33-year-old female, complaining of lower abdominal pain and anal bleeding, underwent a laparotomy under the diagnosis of rectal or left ovarial carcinoma, because of fillings defects detected on X-ray examination and a few tiny polypoid tumors noticed by colonofiber-scopy in the rectum.At laparotomy, an unresectable carcinomatoid mass originating in the rectum was found to occupy all the small pelvic space, and a metastatic tumor at the ileocoecal region was also found to create intestinal stenosis.Therefore, an ileocoecal resection and a single barrel colostomy were performed. The postoperative pathological diagnosis was intestinal endometriosis. Hence, she had a gestagen therapy for the period of six months prior to the second surgery.After the remarkable reduction of the mass, she underwent an anterior resection of the rectum combined with a hystrectomy with bilateral adnexectomies.The specimen obtained by the second surgery demonstrated the left adnex penetrating through the rectal wall, while the other pathological changes were proved minimal.