Krukenberg metastasis from rectosigmoid carcinoma
Several weeks of pelvic pain and progressive abdominal enlargement.
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Bilateral large ovarian complex predominantly solid lesions. The solid component of the lesions show moderate enhancement. Multiple cystic components are noted some of them show clear fluid and others show high density content. Rectosigmoid fungating mass is noted almost obliterating its lumen.
Krukenberg tumor is subtype of metastasis to the ovary, usually from colon and gastric cancer (followed by breast and lung) that contains mucin-secreting signet cells. The lesion is indistinguishable from primary ovarian neoplasm and hence presence of gastric or colonic masses or mural thickening favor the diagnosis of Krukenberg tumor.