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Journal of Case Reports
Surgical Malignancy Presenting as Gynecological Emergency
Prabha Lal1, Kiran Aggarwal1, Abha Singh1, Romesh Lal2 
Departments of 1Obstetrics & Gynaecology and 2Surgery, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi-110001, India.
Corresponding Author:
Dr. Prabha Lal 
Email id: drprabhalal@gmail.com
Received: 01-MAR-2019 Accepted: 11-SEP-2019 Published Online: 30-OCT-2019
DOI: http://dx.doi.org/10.17659/01.2019.0059
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.
Keywords : Abdominal Pain, Colostomy, Krukenberg Tumor, Laparotomy, Ovarian Neoplasms.
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