J Korean Med Sci.  1999 Apr;14(2):220-222. 10.3346/jkms.1999.14.2.220.

Bilateral ovarian carcinoma metastatic from the ampulla of Vater: a rare Krukenberg tumor

• Kim KH
• Kim CD
• Lee HS
• Hyun JH
• Kim YS
• Kim IS

• KMID: 648086
• DOI: http://doi.org/10.3346/jkms.1999.14.2.220

Abstract

Carcinoma of the ampulla of Vater is a relatively rare neoplasm and its longterm survival rate is considerably high. However, because of differences in tumor pathologic features and local invasiveness, a 5-year survival rate differ widely. We present a case of metastatic carcinoma of the ampulla of Vater presenting as a Krukenberg tumor in a 59-year-old woman. Eight months earlier, she had been diagnosed as well-differentiated adenocarcinoma of the ampulla of Vater. Abdominal examination revealed a hard mass with mild tenderness in the RLQ area. The laboratory findings were unremarkable except for mild anemia. CT scan of the abdomen revealed enlargement of both ovaries. An exploratory laparotomy disclosed bilateral ovarian masses, 18 x 12 x 8 cm and 8 x 5.5 x 4 cm in size, respectively. Histologic findings of the both ovarian masses were consistent with metastatic adenocarcinoma from the ampulla of Vater.

Keyword

Vater's ampulla; Neoplasm metastasis; Ovarian neoplasms

MeSH Terms

Case Report
Common Bile Duct Neoplasms/surgery
Common Bile Duct Neoplasms/pathology*
Female
Human
Krukenberg Tumor/secretion*
Krukenberg Tumor/pathology
Middle Age
Ovarian Neoplasms/secondary*
Tomography, X-Ray Computed
Vater's Ampulla*/pathology