Presentation
Vomiting and abdominal distension
Patient Data
Age: 60 years
Gender: Female
From the case:
Krukenberg tumors
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There is centralisation of small bowel loops, with lateral bulging of the properitoneal fat planes. Findings would be in keeping with a moderate-large amount of ascites.
From the case:
Krukenberg tumors
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Lobulated soft tissue masses in both adnexal regions. No normal ovaries seen.
Large amount of ascites.
Case Discussion
The main differentials for this case would be between primary ovarian malignancy and ovarian metastases.
Excision of bilateral ovarian masses showed metastatic gastric carcinoma, ie. Krukenberg tumors.
Gastrocopy found poorly differentiated adenocarcinoma within the gastric body (not well appreciated on this CT).
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