Surgical Malignancy Presenting as Gynecological Emergency

[摘要] Background: Krukenberg tumors, due to ovarian torsion have been rarely reported. Case Report: A 35 year old lady presented to the surgical emergency with severe left sided lower abdominal pain. Abdominal examination revealed a 15×10 cm, tender, mobile mass arising from pelvis. An emergency ultrasound revealed twisted ovarian mass. Emergency laparotomy showed sigmoid colon mass along with bilateral ovarian masses with torsion and rupture of right side ovarian mass. Total abdominal hysterectomy with bilateral salpingo-ophorectomy with segmental resection of sigmoid colon with loop transverse colostomy and para-aortic lymphadenectomy was done. Histopathology confirmed the presence of adenocarcinoma of colon with Krukenberg’s tumor. Conclusion: Krukenberg tumor must also be considered for differential diagnosis of ovarian torsion.

[学科分类] 生理学

[关键词] Abdominal Pain;Colostomy;Krukenberg Tumor;Laparotomy;Ovarian Neoplasms.