A Case Study on the Diagnostic Complexity of Krukenberg Tumor in Pregnancy: Clinical Insights and Management

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Zafarbakhsh Azam; Mousavi Seresht Leila; Souri Shirin; Riyahi Sheyda

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Journal Paper

Paper Information

Journal: CASE REPORTS IN CLINICAL PRACTICE Year:2025 | Volume:10 | Issue:1 Page(s): 29-34

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Information Journal Paper

Title

A Case Study on the Diagnostic Complexity of Krukenberg Tumor in Pregnancy: Clinical Insights and Management

Author(s)

Zafarbakhsh Azam | Mousavi Seresht Leila | Souri Shirin | Riyahi Sheyda | Issue Writer Certificate

Keywords

Krukenberg tumor

Pregnancy

Autoimmune pancreatitis

Abstract

Krukenberg tumors, metastatic ovarian carcinomas primarily originating from gastrointestinal malignancies, present significant diagnostic and therapeutic challenges during pregnancy. We report a case of a 39-year-old pregnant woman initially diagnosed with autoimmune pancreatitis (AIP) and cholestasis of pregnancy, later found to have metastatic signet ring cell carcinoma of the stomach with ovarian involvement. This case highlights the complexities in differentiating malignancy from benign hepatobiliary disorders during pregnancy, emphasizing the need for a multidisciplinary approach. Early integration of tumor markers, advanced imaging, and HISORt criteria can facilitate timely diagnosis and improve clinical outcomes.

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