Intestinal Obstruction Due to Giant Bilateral Krukenberg’s Tumors Synchronous of Colorectal Origin

Naveen Gaur ,Uday Kumbhar,Chellappa Vijayakumar,Rajesh Nachiappa Ganesh,Oseen Shaikh

doi:10.7759/cureus.14176

Naveen Gaur , Uday Kumbhar + Show 3 more

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https://doi.org/10.7759/cureus.14176

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Abstract

Giant bilateral Krukenberg tumors are rarely seen, especially causing complications due to their size. We present a 35-year-old female, diagnosed with carcinoma rectum one year back, now presented to us with intestinal obstruction features. Imaging was suggestive of features of acute intestinal obstruction. Intraoperatively, we found that the patient had bilateral giant ovarian cysts, which compressed the proximal part of the descending colon, causing the obstruction. The patient underwent bilateral excision of the ovarian cyst with diversion sigmoid colostomy. Postoperatively the patient was started on palliative chemotherapy.

Highlights

Krukenberg tumor, the condition named after the German physician Friedrich Ernst Krukenberg who first described five cases, is a rare metastatic ovarian carcinoma histologically characterized by signet-ring adenocarcinoma with a primarily gastrointestinal source, which can occur in any age group; 35-40 years is the most common [1]
The histopathologic findings were of the Krukenberg tumor of the ovary, and the immune profile favored a metastatic rectal carcinoma (Figure 3)
Krukenberg tumors are rare metastatic bilateral ovarian tumors presenting with vague abdominal symptoms

Summary

Introduction

Krukenberg tumor, the condition named after the German physician Friedrich Ernst Krukenberg who first described five cases, is a rare metastatic ovarian carcinoma histologically characterized by signet-ring adenocarcinoma with a primarily gastrointestinal source, which can occur in any age group; 35-40 years is the most common [1]. A 35-year-old female presented to the emergency surgery unit for diffuse abdominal pain and distension for two months and increased intensity for five days She complained of bleeding per rectum for two months and suprapubic discomfort while urinating for two weeks. She was diagnosed with carcinoma rectum and bilateral adnexal mass one year back She did not follow up for further planning and managing the disease due to her financial conditions and nonseverity symptoms. The histopathologic findings were of the Krukenberg tumor of the ovary, and the immune profile favored a metastatic rectal carcinoma (Figure 3) She was started on orals after three days following surgery which she tolerated well, and the stoma started moving. She was discussed in the tumor clinic board for palliative chemotherapy and was planned to start the same

Discussion

Conclusions

Disclosures

Young RH