Abstract
Carcinoma of the ampulla of Vater is a relatively rare neoplasm and its longterm
survival rate is considerably high. However, because of differences in tumor
pathologic features and local invasiveness, a 5-year survival rate differ
widely. We present a case of metastatic carcinoma of the ampulla of Vater
presenting as a Krukenberg tumor in a 59-year-old woman. Eight months earlier,
she had been diagnosed as well-differentiated adenocarcinoma of the ampulla of
Vater. Abdominal examination revealed a hard mass with mild tenderness in the
RLQ area. The laboratory findings were unremarkable except for mild anemia. CT
scan of the abdomen revealed enlargement of both ovaries. An exploratory
laparotomy disclosed bilateral ovarian masses, 18 x 12 x 8 cm and 8 x 5.5 x 4 cm
in size, respectively. Histologic findings of the both ovarian masses were
consistent with metastatic adenocarcinoma from the ampulla of Vater.