Menstrual irregularity and chronic pelvic pain revealing Krukenberg tumours The contribution of imaging

Abstract

The Krukenberg tumour represents 1-2% of all ovarian masses. It is a rare metastatic tumour of the ovary with a reserved prognosis. The purpose of this case-based article is to discuss imaging features and findings associated with Krukenberg tumours. We present the case of a 30-year-old woman with menstrual irregularity and chronic pelvic pain presenting bilateral ovarian masses on ultrasound. CT scan showed an antro-pyloric wall thickening and peritoneal carcinomatosis. Endoscopy was not conclusive. Biopsy performed during a staging laparoscopy confirmed the diagnosis of Krukenberg tumour. Imaging methods have a valuable contribution in establishing the diagnosis and prognosis of this tumour.