Krukenberg tumor

Case contributed by Hani M. Al Salam
Diagnosis certain

Presentation

Abdominal pain and distention

Patient Data

Age: 25 years
Gender: Female
x-ray
Frontal
Frontal
Frontal
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Info

Prominent small bowel loops filled with gas, no air-fluid level, no radiographic signs of intestinal obstruction. 

ct
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Coronal CT scan demonstrates bilateral ovarian masses which are relatively solid along with moderate volume of ascites

Gastric fundus and proximal body mural thickening.

mri
This study is a stack
Coronal
T2
This study is a stack
Axial
T1
This study is a stack
Sagittal
T2
This study is a stack
Axial
T2
This study is a stack
Axial T1
C+ fat sat
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Both ovaries are replaced by lobulated, well defined, heterogeneously high T2, enhancing lesions. Moderate volume ascites see in the pelvis. 

Case Discussion

This case illustrates multi-modality imaging of a pathologically proven Krukenberg tumor of gastric origin. 

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