Bleeding and bowel obstruction in giant ovarian serous carcinoma - a video vignette.

A healthy 58‐year‐old woman presented with increasing abdominal and pelvic pain, intestinal bleeding and intestinal obstruction. The CT scan revealed a large abdominal mass involving the left ovary and the sigmoid colon. Due to the persistence of haemodynamic instability, rectal pain and bleeding the patient underwent an emergency laparoscopy (Video S1). No ascites or evidence of carcinomatosis was identified on initial inspection. The patient had a large mass involving the sigmoid colon and left ovary. We performed a lateromedial mobilization of the left colon and subsequently a limited sigmoidectomy and left ovariectomy. We excised the perirenal fat that was involved in the neoplastic process. Intestinal continuity was restored by performing an intracorporeal colocolic anastomosis. All macroscopic evidence of tumour was removed. The final histopathological examination reported a high‐grade ovarian serous carcinoma.