Krukenberg tumors

Case contributed by Dr Paul Leong

Presentation

Vomiting and abdominal distension

Patient Data

Age: 58
Gender: Female
X-ray

There is centralisation of small bowel loops, with lateral bulging of the properitoneal fat planes. Findings would be in keeping with a moderate-large amount of ascites. 

CT

Lobulated soft tissue masses in both adnexal regions. No normal ovaries seen.

Large amount of ascites.

Case Discussion

The main differentials for this case would be between primary ovarian malignancy and ovarian metastases.

Excision of bilateral ovarian masses showed metastatic gastric carcinoma, ie. Krukenberg tumors.

Gastrocopy found poorly differentiated adenocarcinoma within the gastric body (not well appreciated on this CT).

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Case information

rID: 26804
Published: 8th Jan 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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