Abstract
We experienced a resected case of gastric cancer causing perforation during observation of the course of pregnancy and an ovarian tumor in a young woman. A 29-year-old woman with 9 week gestation who was under observation for Meigs syndrome was admitted to the hospital because of upper abdominal pain. Imaging examinations revealed free air and collection of a large quantity of ascites in the abdomen. The patient was diagnosed as perforation of peptic ulcer and was operated on. During operation perforative gastric cancer and metastasis to the ovary (Krukenberg tumor) were seen. Subtotal gastrectomy, bilateral oophorectomy, and curettage of the uterus were performed. The resected specimen revealed a 1.5×1.5cm perforated portion in the posterior wall of the angular notch and the right ovary was 9×8×4cm in size. Histologically there were tumor cells (signet ring cells) at the margin of the perforated portion and metastasized lesions in the bilateral ovaries. The patient was discharged from the hospital one month after the operation and received chemotherapy and radiotherapy on an ambulant basis, but died 9 months after the operation.
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