A 29 year old female has had lower abdominal pain for the past two weeks with low volume, mucoid diarrhea. A similar episode occurred a year ago. Which of the following diseases is most likely to be affecting the structure identified here:

A Pelvic inflammatory disease

B Chronic alcoholism

C Severe occlusive atherosclerosis

D Ulcerative colitis

E Serous cystadenocarcinoma

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