-Case Reports-

Krukenberg Tumor: Metastasis of Meckel's Diverticular Adenocarcinoma to Ovaries

Sujit V. Sakpal¹, Nitin Babel¹, Rajiv Pulinthanathu², Thad R. Denehy³ and Ronald S. Chamberlain¹

¹Department of Surgery, Saint Barnabas Medical Center, USA
²Department of Pathology, Saint Barnabas Medical Center, USA
³Department of Obstetrics & Gynecology, Saint Barnabas Medical Center, USA

A 56-year-old female presented with abdominal pain, weight loss and fatigue. Computed tomography revealed an abdominopelvic mass and ascites. At surgery she had carcinomatosis and bilateral ovarian metastases arising from a cancer in a Meckel's diverticulum. Histology identified the primary to be a signet-ring cell adenocarcinoma within the Meckel's with ovarian metastases. This is the first report of a Krukenberg tumor from a Meckel's diverticulum. A discussion of malignancies within a Meckel's diverticulum is provided.

J Nippon Med Sch 2009; 76: 96-102

Keywords
Meckel's diverticulum, Krukenberg tumor, signet-ring cell gastric adenocarcinoma, ovaries

Correspondence to
Ronald Chamberlain, MD, MPA, FACS, Department of Surgery, Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, New Jersey 07039, USA
rchamberlain@sbhcs.com

Received, October 28, 2008
Accepted, December 17, 2008