Korean J Obstet Gynecol.  2012 Nov;55(11):830-833. 10.5468/KJOG.2012.55.11.830.

Bone metastasis with paraplesia of Krukenberg tumor in pregnancy

• Byun S
• Kim HK
• Kim GW
• Kim M
• Lee H
• Lee D
• Kim S

• KMID: 2274151
• DOI: http://doi.org/10.5468/KJOG.2012.55.11.830

Abstract

Krukenberg tumor is not easy to detect during pregnancy. One reason is its rare incidence because of the chronological gap between the reproductive age and the high risk age for gastric cancer. Another reason is the similarity between the typical symptoms of normal pregnancy and the Krukenberg tumor: epigastric discomfort, early satiety, nausea, etc. We report a case of a pregnant woman in her third trimester who presented with chronic back pain and sudden paraplegia.

Keyword

Krukenberg tumor; Pregnancy; Bone metastasis

MeSH Terms

Back Pain
Female
Humans
Incidence
Krukenberg Tumor
Nausea
Neoplasm Metastasis
Paraplegia
Pregnancy
Pregnancy Trimester, Third
Pregnant Women
Stomach Neoplasms

Figure

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  Fig. 1 (A) Preoperative finding. Magnetic resonance imaging shows bone metastasis of Krukenberg tumor resulting in L2 bursting fracture (circle) followed by sudden paraplegia. (B) Preoperative finding. L-spine anterior posterior view shows 30+0 week-aged fetus (arrow) in uterus and L2 spinal fracture (circle) simultaneously.

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  Fig. 2 Intraoperative finding. A friable right ovarian mass measuring 7 cm in its greatest diameter was found during Cesarean section.

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  Fig. 3 Postoperative finding. Chest computed tomography shows malignant pleural effusion (arrow).

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