{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:40:23Z","timestamp":1756287623060,"version":"3.44.0"},"reference-count":26,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Krukenberg tumour is a metastatic signet-ring adenocarcinoma of the ovary, usually with a gastrointestinal primary detected metachronously or synchronously. We present here a case of a 48\u2005year-old woman who presented with a prolonged history of dyspnoea on exertion. Workup had revealed a pelvic mass. Thoracocentesis of her pleural effusion, with cytology, and pathology reports from her total abdominal hysterectomy with bilateral salpingo-oophorectomy revealed a carcinoma with signet-ring cells. Immunostains were positive for CDX2, CK7 and CK20, which was highly suggestive of a gastric primary. Colonoscopy was negative, and an oesophagogastroduodenoscopy revealed a few small crater ulcers, the biopsy of which was negative for cancer. A right-sided pleurodesis was performed for the unremitting malignant effusion, and a PleurX catheter was placed in her left pleural space. She was discharged home with a very poor prognosis.<\/jats:p>","DOI":"10.1136\/bcr-2012-008302","type":"journal-article","created":{"date-parts":[[2013,2,1]],"date-time":"2013-02-01T13:25:36Z","timestamp":1359725136000},"page":"bcr2012008302","source":"Crossref","is-referenced-by-count":0,"title":["Dyspnoea and the ovaries: a rare presentation of Krukenberg tumour"],"prefix":"10.1136","volume":"2013","author":[{"given":"Wasiq Faraz","family":"Rawasia","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Udit","family":"Chaddha","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karim","family":"El-Kersh","sequence":"additional","affiliation":[{"name":"Department of Pulmonary, Critical Care & Sleep Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael L","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of Pulmonary, Critical Care & Sleep Medicine, University of Louisville, Louisville, Kentucky, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,2,1]]},"reference":[{"key":"2025082702093462000_2013.feb01_1.bcr2012008302.1","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.5858\/2006-130-1725-AILAKT","article-title":"An in-depth look at Krukenberg tumor: an overview","volume":"130","author":"Al-Agha","year":"2006","journal-title":"Arch Path Lab Med"},{"key":"2025082702093462000_2013.feb01_1.bcr2012008302.2","first-page":"202","article-title":"Krukenberg tumor: a clinico-pathological study of 15 cases","volume":"20","author":"Mrad","year":"2000","journal-title":"Ann Pathol"},{"key":"2025082702093462000_2013.feb01_1.bcr2012008302.3","first-page":"427","article-title":"Krukenberg tumors. 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