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A case of ovarian metastasis of gall bladder carcinoma simulating primary ovarian neoplasm: diagnostic pitfalls and review of literature
  1. V. Jain*,
  2. K. Gupta,
  3. R. Kudva and
  4. G. S. Rodrigues*
  1. * Departments of Surgery, Kasturba Medical College, Manipal, Karnataka, India
  2. Departments of Pathology, Kasturba Medical College, Manipal, Karnataka, India
  1. Address correspondence and reprint requests to: Dr Vikas Jain, MS, Department of Surgery, Kasturba Medical College, Manipal 576104, Karnataka, India. Email: dr_vikasin{at}


The ovary is a relatively frequent site of metastases from malignant neoplasia arising elsewhere in the body, the majority of these originating from the gastrointestinal tract. The best-known tumor of this type is signet ring cell adenocarcinoma (Krukenberg tumor) of gastric origin and large bowel. The gall bladder and bile ducts are extremely rare sources of these metastases. The casuistic describes a female patient, presented with pelvic mass and jaundice. While clinical and imaging results suggested a primary ovarian carcinoma with incidental cholelithiasis and choledocholithiasis, the final diagnosis was obtained on the basis of histopathologic findings of resected specimen.

  • carcinoma gall bladder
  • ovarian metastasis
  • primary ovarian carcinoma

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