Incidentally diagnosed Krukenberg tumor in pregnancy: A rare presentation with dismal outcome

Krukenberg tumor is quite rare, accounting for 1–2% of all ovarian tumors. In pregnancy, its incidence is 0.4–0.5%. It is associated with very poor prognosis in pregnancy due to widespread metastasis at the time of diagnosis. We report a case of 25-year-old full term pregnant female presenting with fetal distress. Bilateral enlarged ovaries were found incidentally at the time of cesarean section. A diagnosis of Krukenberg tumor with a primary from stomach was rendered on histopathology. Our case is interesting in view of its unusual presentation, young patient age, and the diagnostic dilemma it poses. Our report highlights the fact that early diagnosis of Krukenberg tumor in pregnancy may be difficult at times owing to the masquerading effects, implying widespread metastasis and a poor maternal survival.