Krukenberg tumor of the ovary from cecal carcinoma in a young woman

Krukenberg tumor of the ovary is not commonly encountered in routine practice. It is a special type of metastatic bilateral ovarian tumor characterized by the presence of mucin-laden signet cells infiltrating the ovarian stroma. Signet ring cells metastasize from primary tumors of the stomach, colon, breast, appendix, and pancreatobiliary tract. We report a rare case of a Krukenberg tumor of the ovary from adenocarcinoma of the colon diagnosed in a 35-year-old female. This case report emphasizes the importance of history taking, clinical examination, and diagnostic evaluation, as there is a propensity for delayed diagnosis in majority of patients due to nonspecific and vague clinical presentation.