**4. Conclusions**

Although rarely seen, synchronous cervical and ovarian cancer might be encountered and might benefit from surgery with curative intent. However, in the case we reported, the presence of a non-secretory ovarian adenocarcinoma, even in the presence of large nodules of peritoneal carcinomatosis in association with the indubitable diagnostic of cervical adenocarcinoma, led to a confusing initial diagnostic. Moreover, the fluctuant evolution of this patient was also caused by the initial poor compliance of the patient with treatment and follow-up. However, the final diagnostic was established at the time of surgery for obstructive syndrome, which revealed the presence of two different lesions and which offered the chance to the patient to be submitted to surgery with curative intent, radical procedures being performed for both ovarian and cervical malignant lesions.

**Author Contributions:** N.B., M.V., I.B. and A.F. performed the surgical procedure; I.C.B. reviewed literature data; I.C.B., L.I., C.D., I.H. and D.C. prepared the draft of the manuscript; I.B. was advisor of the surgical oncology procedures; I.B. reviewed the final version of the manuscript. All Authors read and approved the final version of the manuscript.

**Funding:** This research received no external funding.

**Acknowledgments:** This work was supported by the project entitled "Multidisciplinary Consortium for Supporting the Research Skills in Diagnosing, Treating and Identifying Predictive Factors of Malignant Gynecologic Disorders", project number PN-III-P1-1.2-PCCDI2017-0833.

**Conflicts of Interest:** The Authors have no conflict of interest to declare regarding this study.
