KRUKENBERG SYNDROME IN AN 18-YEAR-OLD PATIENT: A CASE REPORT

Background: Krukenberg tumors are rare metastatic ovarian tumors, often originating from the gastrointestinal tract, particularly the stomach. Their presentation may mimic primary ovarian neoplasms, especially in young women with non-specific gastrointestinal symptoms. Case presentation: We report the case of a 18-year-old nulligravid woman with a history of chronic dyspepsia who presented with pelvic pain. Imaging studies revealed a right ovarian mass suspicious for malignancy (ORADS 5). Laparoscopy followed by laparotomy revealed a right ovarian tumor, leading to adnexectomy and biopsies. Histology and immunohistochemistry suggested a metastatic adenocarcinoma of gastrointestinal origin. Upper GI endoscopy revealed a gastric adenocarcinoma. Multidisciplinary management was initiated with neoadjuvant chemotherapy. Conclusion: This case underscores the need to consider extra-genital origins in the differential diagnosis of adnexal masses in young women, particularly when accompanied by gastrointestinal symptoms.