A Case Report of Krukenberg Tumor’s Secondary to Adenocarcinoma of Gall Bladder.

Abstract

Metastasis to the ovary is not rare and 5% to 10% of all ovarian malignancies are metastasis. Ovarian secondary tumors arise most commonly from primary tumors of stomach. Colon, pancreas, appendix, lung and breast are other common primary sites. Gall bladder and bile ducts are extremely rare sources of these metastases. We report one such rare case of krukenberg tumors secondary to gall bladder adenocarcinoma. A thirty-five year old patient came with complaints of mass per abdomen and pain lower abdomen. Ultrasonography of abdomen and pelvis showed two heterogenous mass lesions in pelvis, abdomen and irregular mass in gall bladder. Computed Tomography showed two cystic mass lesions in pelvis and abdomen with thick septations and solid components, which showed moderate enhancement on contrast administration and enhancing soft tissue mass in the gall bladder. Laparotomy was done and showed bilateral ovarian masses and shrunken hard gall bladder. Total abdominal hysterectomy with bilateral salpingo-oophorectomy with cholecystectomy and infracolic omentectomy was done. Histopathology features were suggestive of krukenberg tumors secondary to adenocarcinoma of gall bladder.