IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Krukenberg tumor

Case contributed by Palak Thakrar
Diagnosis almost certain

Presentation

Pain in abdomen and weight loss.

Patient Data

Age: 35 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

Diffuse concentric wall thickening is seen involving the stomach extending from the gastro-esophageal junction upto the antrum. Maximum wall thickness measures 15 mm in region of lesser curvature of stomach. Diffuse perigastric fat stranding is noted with multiple small lymph nodes are seen in the epigastric region. Multiple small subcentimeter sized homogeneously enhancing lymph nodes are seen at celiac axis and in the peripancreatic region. Multiple small homogenously enhancing lymph nodes are also noted in the mesentery. Diffuse fat stranding and nodularity is noted involving the peritoneum and the omental fat. Multiple nodules are seen along the parietal peritoneum which show homogenous enhancement on post contrast. Moderate free fluid is seen in abdomen and pelvis.

Uterus appears normal in size and attenuation. Both ovaries are bulky in size and show heterogeneous enhancement on post-contrast study. Multiple small non-enhancing cysts are seen in both ovaries.  The left ovary measures 5.8 x 4.4 cm in size and the right ovary measures 8.0 x 4.0 cm in size. A large lobulated fluid pocket is seen in the pelvis anterior to the urinary bladder. The left ureter is dilated up to the level of left ovary.  

Case Discussion

[histological proof not provided]

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.