Krukenberg tumors are rare metastatic ovarian tumors with its primary site being the gastrointestinal tract as a most common site and poor prognosis. We hereby, present a 25-year-old pregnant female suffering from abdominal pain and iterative vomiting episodes. She was diagnosed with a terminal stage of the malignant disease. She underwent total ovariectomy without any radiotherapy. Histological examination of the specimen yielded diagnosis of Krukenberg tumor. Ten days later, the patient underwent a natural vaginal delivery in the 25th gestational week because of labor pain, and we extracted a dead male newborn of 31 cm, 510 g, AP score 0. Three weeks later, the patient died because of pulmonary failure.

Krukenberg tumor (KT) is a rare metastatic ovar-ian tumor defined as a carcinoma that consists of mucin-filled signet-ring cells in >10% of the tu-mor (1). Nevertheless, this histopathologic defini-tion is not followed by all authors and the term KT is occasionally used inaccurately for all meta-static tumors to the ovary (1). Krukenberg tumor patients are usually young women with a mean age of 45 years (2). . . .

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.

Venous resection and reconstruction are typical during pancreaticoduodenectomy due to pancreatic adenocarcinoma. Multiple treatment options have been offered for venous injury repair. The present study used the peritoneum as a conduit for the superior mesenteric vein (SMV) reconstruction during colon cancer surgery. The case was a 55-year-old woman with colon adenocarcinoma. The SMV damage was six cm in length. The defect was replaced with a peritoneal conduit derived from the parietal peritoneum of the abdominal wall. Coalition and flow of the SMV were confirmed by contrast-enhanced computed tomography examinations. Peritoneal conduit may be a promising choice for SMV defects in emergent situations due to its availability and lower overall costs.

BACKGROUND & OBJECTIVE: Mesenchymal tumor of the gastrointestinal tract comprises a diverse group of neoplasms which occurs in adults. With recognition of immunohistochemical profile in recent years, gastrointestinal stromal tumor (GIST) has been grouped separately from other sarcomas. No therapeutic modality except. Surgey has ever demonstrated definitive evidence of clinical benefit in GIST. These tumors occur most commonly in the stomach, followed by small intestine, and are rare in the colon and rectum and extremely rare in the esophagus. GIST also arises rarely in the omentum, mesentery and peritoneum.CASE: A 69-year-old male was admitted to surgical ward with clinical and CT scan findings of large, movable abdominal mass behind the stomach with probable origin from the pancreas. Explorative laparatomy revealed an 18 x 16 cm mass in lesser omentum. Pathological and immunohistochemical techniques revealed malignant GIST.CONCLUSION: Gastrointestinal stromal tumor should be considered in the differential diagnosis of the abdominal mass.

Signet ring stromal tumor is a rare benign ovarian neoplasm, of which only about 17 cases have been reported since 1996. The signet ring appearance of this tumor may mimic a Krukenberg tumor and result in a diagnostic challenge in some cases. The previous cases occurred in adult or in old patients. We have reporteda Signet ring stromal tumor in a 13-year-old girl.

Dear Editor, We had a case of Krukenberg tumor (KT) of the right ovary, which extended to pelvic zone M; 18*13*10 cm in a 40-year-old virgin woman who had no history of previous cancer. The patient received five courses of chemotherapy before surgery, and because of the chemotherapeutic effect on the ovarian stroma, spindle cells of stroma were plump, hyperchromatic, with mild pleomorphism. The number of signet cells was low, and they were scattered between spindle cells, mostly with eosinophilic cytoplasm. . .