37-year-old female with pelvic pain, recent CT demonstrating possible fistulous connection between the small bowel and sigmoid colon. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Tethering of the sigmoid colon and rectum to the level of the apex of the vaginal cuff. No fluid track is seen to suggest fistulous connection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy. T1 hyperintense lesion in the mid transvaginal cough may reflect post surgical blood product. Tissue adjacent to the vaginal cuff is favored to reflect ovarian tissue.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Tethering of the rectum, sigmoid colon, and probable ovarian tissue at the level of the apex of the vaginal cuff. No definite evidence of a fistulous connection is present. Findings favor adhesive disease.