Ovarian Mass Leading to the Diagnosis of Krukenberg Tumour: A Case Report
Bibliographic record
Abstract
A Krukenberg tumour is a distinct metastatic ovarian carcinoma, a secondary ovarian malignancy arising from a distant primary site. They often show nonspecific gastrointestinal symptoms, which lead to a delayed diagnosis and a poor prognosis. This case report exemplifies the challenges associated with diagnostic delays of Krukenberg tumours, especially in distinguishing metastatic ovarian tumours from primary ovarian cancer, and the limited treatment options available in the advanced stages of the disease, which can affect patients' prognosis. Histopathological analysis revealed diffusely invasive growing cancerous tissue with granular and diffuse single distribution in which numerous tumour cells had a signet–ring appearance indicative of a Krukenberg tumour from the stomach. Despite postoperative recovery and subsequent admission for treatment, the patient encountered recurrent obstruction and ultimately succumbed. This report present the case of a 29-year-old woman of African Descent, Gravida 1 para 1, who presented to the accident and emergency room with persistent abdominal pain, distension, and vomiting. Erect Abdominal X-ray demonstrated dilated bowel loops. Transabdominal ultrasonography revealed a complex adnexal mass measuring approximately 13.9 × 8.5 cm, involving the ovary and fallopian tube, extending into the cul-de-sac and Morrison’s pouch. A subsequent CT imaging showed Heterogeneous intraperitoneal pelvic tumours measuring 12.0 × 11.4 × 8.7 cm, associated with ascites and evidence of intestinal obstruction. Free fluid was also noted throughout the peritoneal cavity. The patient underwent an exploratory laparotomy, which identified friable ovarian masses measuring 8 × 10 cm on the left and 10 × 14 cm on the right, along with a 10 × 4 cm omental mass. Additional metastatic deposits were observed on the fallopian tubes, transverse colon, and peritoneum. All grossly visible tumours were surgically excised. This case highlights a rare presentation of bilateral metastatic Krukenberg tumours from primary gastric adenocarcinoma in a young woman. It underscores the diagnostic challenges posed by nonspecific gastrointestinal symptoms and emphasises the importance of early, accurate diagnosis using imaging, endoscopy, histopathology, and immunohistochemistry. Multidisciplinary management is essential to guide surgical, oncologic, and palliative care, optimising outcomes and quality of life even in advanced-stage disease.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.003 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.005 | 0.002 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.003 | 0.004 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.007 | 0.005 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".