• Irina Balescu, Nona Bejinariu, Simona Slaniceanu, Mircea Gongu, Brandusa Masoud, Smarandita Lacau, George Tie, Maria Ciocirlan, Nicolae Bacalbasa, and Catalin Copaescu.
• Department of Surgery, "Ponderas" Academic Hospital, 021188 Bucharest, Romania.
• Medicina (Kaunas). 2020 Apr 17; 56 (4).

AbstractKrukenberg tumors from pulmonary adenocarcinoma represent an extremely rare situation; only a few cases have been reported. The aim of this paper is to report an unusual such case in which almost complete dysphagia and ureteral stenosis occurred. The 62-year-old patient was initially investigated for dysphagia and weight loss. Computed tomography showed the presence of a thoracic mass compressing the esophagus in association with a few suspect pulmonary and peritoneal nodules, one of them invading the right ureter. A biopsy was performed laparoscopically on the peritoneal nodules. The right adnexa presented an atypical aspect; right adnexectomy was also found. The histopathological and immunohistochemical studies confirmed that the primitive origin was pulmonary adenocarcinoma. Although both peritoneal carcinomatosis and ovarian metastases from pulmonary adenocarcinoma represent a very uncommon situation, this pathology should not be excluded, especially in cases presenting suspect pulmonary lesions.

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