Krukenberg tumour simulating uterine fibroids and pelvic inflammatory disease.

OBJECTIVE

To report a case of cancer of the colon which presented as secondaries to the ovaries.

METHOD: Case report.

SUMMARY: The case presented is that of a 39-year-old female who presented with lower abdominal pain and a multinodular pelvic mass which led to an initial diagnosis of multiple uterine fibroids and pelvic inflammatory disease. The presence of a colonic mass was first suggested by ultrasound. Laparotomy revealed carcinoma of the colon with bilateral krukenberg's tumour and an insignificant fibroleiomyoma.

CONCLUSION

This case is reported to alert practitioners that all multinodular pelvic masses should not be assumed to be multiple fibroids.