A 70-year-old woman was referred to our unit because of an incidentally discovered pelvic lesion accompanied by enlargement of multiple lymph nodes and small amount of ascites (A). EUS confirmed a 4.0 × 2.5-cm mixed-echoic mass in the right ovary. We conducted EUS-guided through-the-needle biopsy sampling (EUS-TTNB) for histologic diagnosis. The EUS probe was advanced to about 10 cm from the anal verge and rotated to the right to find the ovarian mass. Under EUS guidance, a transrectal puncture was performed using a 19-gauge FNA needle, followed by the advancement of a microforceps (Disposable micro-forceps, Ushare Medical, Mentor, China) through the needle into the lesion (B, Video 1, available online at www.giejournal.org).

A 65-year-old man presented with intermittent abdominal distension for 1 month, along with absence of passage of stool and gas for 3 days. Physical examination revealed abdominal distention, mild tenderness in the lower abdomen, and hypoactive bowel sounds. Abdominal CT revealed a 4-cm mass in the sigmoid colon, causing lumen stenosis; the adjacent mesentery and omentum exhibited nodular hyperplasia and swelling, with invasive involvement around the left ureter (A). Advanced colon cancer was highly suspected, and an emergency transverse colostomy was performed.