Table 1.

Characteristics of our patient and previously reported patients with rectovaginal septum tumors related to endometriosis

Author/year	Patient age (years)	Signs/symptoms	Medical history	Body type	Laboratory tests	Radiology/ultrasonic findings	Histology	Treatment	Follow-up
Dockerty et al. [1], 1954	54	Serosanguineous vaginal discharge	Thyroidectomy	ND	ND	ND	Adenocarcinoma	TH+BSO+LN/RT	DOD 2 years
Dockerty et al. [1], 1954	45	A small reddish area on the posterior lip of the cervix	ND	Obese	Normal	ND	Adenocarcinoma	TH+BSO+LN/RT	NR 10 years
Lash and Rubenstone [2], 1959	32	Severe low back pain, cyclic vaginal bleeding	STH	Obese	Normal	Upper and lower gastrointestinal roentgen studies were normal	Adenocarcinoma	Cervicectomy, RR	ND
Young and Gamble [3], 1969	47	Intermittent vaginal bleeding, pelvic pain, and a cul-de-sac mass	STH	ND	ND	ND	Adenoacanthoma	Pelvic exenteration+RT	Unknown
Goldberg et al. [4], 1978	48	A hemorrhagic nodule on the posterior vaginal wall	Spontaneously aborted through a laceration	ND	ND	ND	Clear cell adenocarcinoma	TH+LN+RR+resection of the upper half of the vagina	Metastatic nodes 9 months later
Addison et al. [5], 1979	37	Vagina1 and rectal bleeding	TH+celiotomy+nephrectomy	Obese	ND	ND	Adenoacanthoma	RT/CT	DOD 1 year
Yazbeck et al. [6], 2005	25	Lower abdominal pain and dyspareunia; painful retrocervical nodule	Total thyroidectomy + appendectomy	ND	CA125: 700 U/mL	US showed a heterogeneous pelvic mass; MRI confirmed the central pelvic mass.	Papillary adenocarcinoma	RT/TH+RR	NR 2 years
Ulrich et al. [7], 2005	51	Irregular vaginal bleeding	Vaginal hysterectomy	ND	ND	Pelvic MRI confirmed a tumor of the rectosigmoid colon	Glandular and papillary tumor	RR+BSO+vagina and parakolpium resection+LN+RT	RE 2 years later
Mabrouk et al. [8], 2011	36	Abdominal discomfort	Unknown	ND	Ca125 and Ca19.9 were elevated	CT scan showed a retro-uterine mass; US scan revealed both slightly enlarged ovaries and a retrocervical mass	Clear cell and endometrioid adenocarcinoma	TH+LN+omentectomy+appendicectomy+CT(cisplatinum)+RR□	NR 2 months
Present case, 2019	57	Vaginal bleeding and left lower abdominal pain	Caesarean section and myomectomy	Overweight	Ca125, Ca19.9, and HE4 were elevated	US scan showed an irregular complex mass in the rectovaginal fossa, PET/CT showed a mass with FDG uptake in the rectovaginal fossa.	Adenocarcinoma	TH+LN+omentectomy+peritonectomy+appendicectomy+partial rectal resection+CT	NR 6 months

RT, radiation therapy; TH, total hysterectomy; STH, subtotal hysterectomy; BSO, bilateral salpingo-oophorectomy; LN, lymph node dissection; CT, chemotherapy; RR, rectal resection; RE, recurrence; NR, no recurrence; DOD, dead of disease; ND, not described; US, ultrasound; MRI, magnetic resonance imaging; PET/CT, positron emission tomography/computed tomography; FDG, fluorodeoxyglucose