PRIMARY MUCINOUS ADENOCARCINOMA OF APPENDIX WITH BILATERAL KRUKENBERG OVARIAN TUMORS

Abstract

After experiencing intermittent episodes of abdominal pain for 2 yr, a 28-yr-old woman developed partial small bowel obstruction. Ba enema and colonoscopy revealed the source of obstruction to be an apparent cecal carcinoma. At exploratory laparotomy a primary adenocarcinoma of the appendix with bilateral Krukenberg ovarian metastases was found. This is a rare occurrence and the 1st well-documented case in the English literature. The case also demonstrates difficulties in the preoperative diagnosis of adenocarcinoma of the appendix.