Presentation
Middle aged women with an acute abdomen. Laparotomy showed a very large perforated gastric ulcer in an otherwise thickened, tumefactive stomach.
Patient Data
The ovaries showed enlargement and replacement by tumor. This ovary weighed 283 grams and measured 9.5 x 8.0 x 6.0 cm.
Case Discussion
Author: Ed Uthman
Description: This middle-aged woman presented with an acute abdomen. Exploratory laparotomy showed a very large perforated gastric ulcer in an otherwise thickened, tumefactive stomach. The ovaries showed enlargement and replacement by tumor. This ovary weighed 283 grams and measured 9.5 x 8.0 x 6.0 cm.
The Krukenberg tumor is classically a metastatic signet ring cell adenocarcinoma arising in the stomach and metastasizing to the ovaries. Other primary sites have been described, and a few cases have no detectable primary.
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