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Fig. 3 —23-year-old woman with suspected intestinal implants of endometriosis. Double-contrast barium enema examination showed pathologic pelvic process involving bowel serosa at rectosigmoid junction. Finding of extrinsic mass effect and spiculation (arrows) owing to poor wall distention after air insufflation suggested endometriotic wall infiltration. Histologic examination of these alterations showed adnexal inflammation originating from ovary.