Synchronized Bilateral Giant Krukenberg Tumor Originating from the Colon

Abstract

In this article, we presented clinical and histological findings of a very rare case of metastatic bilateral synchronous giant Krukenberg tumor (KT) in very young age and presented with ileus, abdominal pain and swelling. Descending colon tumor, peritoneitis carcinomatosa (PC), bilateral ovarian giant tumor were detected during the emergency operation for ileus. Histomorphologically, the primary focus of bilateral ovarian tumors and PC was located in the descending colon. There was microscopic examination revealed mucinous adenocarcinoma (MAC) accompanied by signet ring cell carcinoma, diffusely invading the ovarian parenchyma in bilateral ovaries. In these case the choice of treatment is more difficult and prognosis is also worse with fatal outcome in one year. Early diagnosis, complete resection and intraoperative chemotherapy are the only possible hope.