A Krukenberg tumor in a young patient

Abstract

Krukenberg Tumor (KT) is a rare secondary ovarian neoplasm that occurs in approximately 1 to 2% of the population of all ovarian tumors, in most cases it derives from a primary tumor of the gastroenteric tract, particularly of the stomach, colon or rectum (1). The mean age of women diagnosed with KT ranges between 40 and 46 years, while between 35 and 45% are under 40 years of age (2). In this report, it is described the clinical case of a 23-year-old woman who consulted with epigastric pain, adynamia, hyporexia and vaginal bleeding, who underwent a abdominal pelvic CT that reported findings compatible with anthropiloric neoplasm with signs of angiogenensis and adenopathy in greater and lesser curvature of metastatic appearance in the stomach, in addition to solid material dependent on the viceral peritoneum in the pelvis, in intimate contact with the ovaries. Subsequently, gastric endoscopy with biopsy was performed, where gastric adenocarcinoma with signet ring cells was reported, in addition to peritoneal involvement and ovarian involvement, and positive CA25-5 and CA19-9 markers. She was given paleative chemotherapy management, however the patient presented a constitutional syndrome for which she required management in the Hospital Universitario Departamental De Nariño E.S.E Internal Medicine Service until she was in better conditions to continue with chemotherapy treatment. After approximately 1 month of torpid evolution, on March 15^th of 2021, the patient died after presenting with bradycardia and hypotension.