Krukenberg tumor presenting as back pain and a positive urine pregnancy test: A case report and literature review

Dalia Moghazy, Omar Al-Hendy, Ayman Al-Hendy

Research output: Contribution to journalReview article

9 Scopus citations


A Krukenberg tumor is a rare and potentially deadly cause of elevated serum β-hCG as part of a paraneoplastic syndrome. This study aims to describe the unusual case of a 36-year-old woman that presented to the Emergency Department (ED) with back pain and a positive urine pregnancy test. Assessment revealed no intrauterine pregnancy and a small left ovarian cyst. Further investigation showed moderately differentiated gastric adenocarcinoma with distant metastases to the spine. The patient died less than 3 months after her first presentation to the ED. Paraneoplastic syndrome, albeit rare, should be considered in the differential diagnosis of elevated β-hCG due to the high mortality associated with Krukenberg tumors.

Original languageEnglish (US)
Article number36
JournalJournal of Ovarian Research
Issue number1
Publication statusPublished - Apr 7 2014



  • Adenocarcinoma
  • Elevated β-hCG
  • Krukenberg tumors
  • Paraneoplastic syndrome

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology
  • Medicine(all)

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