Table 1.

Timeline of events

Date	Event	Details
March 20, 2025	Initial outpatient visit	Pain and urinary symptoms; adnexal mass detected.
March 26, 2025	Hospital admission on March 26 occurred at the patient’s request due to work-related obligations	Labs, inflammatory markers, and tumor markers within normal limits.
March 28–30, 2025	Imaging studies	CT: pelvic mass (119 × 83 mm) with heterogeneous enhancement, multiple nodules; MRI: heterogeneous signal, abnormal enhancement; colonoscopy: mucosal erosion, biopsy chronic inflammation (Figs. 1, 2, 3, 4 and 5).
April 1, 2025	Surgical intervention	Exploratory laparotomy with palliative resection of retroperitoneal neoplasms, partial colectomy, partial rectal resection, colostomy (Fig. 6a and d).
April 2–13, 2025	Postoperative care	Supportive care, gradual diet progression, stoma management; discharged on postoperative day 12.
April 21, 2025	postoperative follow-up of 20 days	CT: no evident abnormalities. Patient declined adjuvant therapy due to financial constraints.
July 10, 2025	postoperative follow-up of 100 days	Resumption of normal daily activities.
August 24, 2025	postoperative follow-up of 145 days	CT: no significant change in residual lesions. Monthly outpatient follow-up continues for stoma care.