Underwent elective left salpingoophorectomy and high anterior resection with primary anastomosis

 Constrictive sigmoid lesion at the level of the pelvic brim  - Large left ovarian mass  - Intense inflammatory reaction of pelvic peritoneum    

Histology : T4N0M1 (0/16)  - Sigmoid colon : 30x25mm ulcerated polypoid constricting tumour. Moderately differentiated adenoCA infiltrating through muscularis propria and pericolic fat into serosa. Lymphovascular invasion noted. Clear resection margins

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