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An Unlikely Route: Metastatic Ovarian Malignancy within the Duodenum
Sindhura Kolli1, Simcha Weissman2, Saad Saleem3
1Department of Medicine, The Brooklyn Hospital Center, Brooklyn, New York, USA.
Gastrointestinal Tumors
|November 27, 2019
Summary
Metastasis to the small bowel is rare, but this case highlights duodenal involvement from ovarian cancer. Clinicians should consider ovarian malignancy in patients with unexplained abdominal pain and duodenal disease.
Area of Science:
- Gastroenterology
- Oncology
Background:
- Small bowel metastasis is uncommon.
- Duodenal metastasis typically originates from local organs.
- Ovarian cancer rarely metastasizes to the duodenum.
Observation:
- A 68-year-old female presented with duodenal metastatic disease.
- The primary malignancy was ovarian serous adenocarcinoma.
Findings:
- This case represents a rare instance of distant metastasis from ovarian cancer to the duodenum.
- The patient's duodenal disease was secondary to primary ovarian malignancy.
Implications:
- Broaden the differential diagnosis for abdominal pain in patients with a history of ovarian cancer.
- Consider duodenal metastasis in patients with ovarian malignancy presenting with gastrointestinal symptoms.
- Highlights the importance of thorough investigation for metastatic disease in unusual locations.
