title: Krukenberg tumor in a pregnant patient with severe preeclampsia.
abstract: Krukenberg tumors accompanied by gestational hypertension are rare and have a poor patient prognosis. A gravida 1, para 0 patient was submitted to Tianjin Medical University General Hospital (Tianjin, China) at 32 weeks gestation with symptoms of nausea, vomiting and hypertension. Diagnosis from the gastroscopic biopsy was of a gastric ulcer. A unilateral ovarian mass was identified with B-scan ultrasonography and magnetic resonance imaging, but was confirmed pathologically as a bilateral Krukenberg tumor. Positron emission tomography-computed tomography revealed a high radioactive uptake in the lesser curvature wall of the stomach, and postoperative pathology revealed poorly differentiated adenocarcinoma of the stomach. As Krukenberg tumors are difficult to diagnose, exhibit fast progression and have a poor clinical outcome, developing a greater understanding of Krukenberg tumors is crucial. Imaging manifestations combined with serological examination may aid in early detection, which may lead to improved patient management.
authors.affiliation: Department of General Surgery, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
authors.forename: Jie
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Tianjin Medical University, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
authors.forename: Xinyu
authors.initials: X
authors.lastname: Cheng
authors.affiliation: Department of Obstetrics and Gynecology, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
authors.forename: Cha
authors.initials: C
authors.lastname: Han
authors.affiliation: Department of Obstetrics and Gynecology, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
authors.forename: Zengyan
authors.initials: Z
authors.lastname: Li
authors.affiliation: Tianjin Medical University, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
authors.forename: Min
authors.initials: M
authors.lastname: Wang
authors.affiliation: Tianjin Medical University, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
authors.forename: Yue
authors.initials: Y
authors.lastname: Zhu
keywords: Krukenberg tumors; color Doppler ultrasonography; severe preeclampsia