Should the Discovery of an Ovarian Tumor Systematically Indicate an Upper Digestive Endoscopy: Krukenberg’s Tumor: Case Report in Senegal and Literature Review

Abstract

Introduction: Krukenberg tumors (TK) are defined as ovarian metastasis of gastrointestinal tract cancer. Presentation: We report a case of Krukenberg tumor in a 60-year-old female who presented with chronic periumbilical pain and moderate ascites on admission. Ultrasound and CT scan showed a left ovarian tumor with secondary peritoneal and hepatic tumors. Histological test of the ovarian lesion was in favor of a kitten-ring cell adenocarcinoma. However, the occurrence of uncontrollable vomiting during hospitalization motivated upper digestive endoscopy procedure which showed a gastric tumor of the same histological type as the ovarian tumor, thus making us uphold the likely diagnosis of Krukenberg tumor. Conclusion: Krukenberg tumors always constitute a diagnostical challenge, especially for the primary origin of the tumor, hence the benefit of a systematic gynecological examination considering any digestive neoplasia and vice versa, gastrointestinal radiological and endoscopic exploration is also deemed necessary before any ovarian tumor.