Most common primary malignancies linked to Krukenberg tumors are those arising from the gastrointestinal tract. Complete cytoreduction is the key to reduce reoccurrence. We report a case of a 34-year-old woman presented with bilateral Krukenberg tumor with no gastrointestinal symptoms or sign; further preoperative evaluation revealed malignant growth in the sigmoid colon. Laparoscopic total hysterectomy, bilateral salpingo-oophorectomy with anterior colonic resection was performed. Histopathology suggested Krukenberg tumor arising from moderately differentiated adenocarcinoma of the colon with further confirmation on immunohistochemistry. The patient had uneventful recovery with no documented evidence of locoregional reoccurrence till date. This case highlights the importance of thorough preoperative evaluation to detect occult primary in the case of Krukenberg tumor; further, it justifies the use of minimal access surgery for en bloc resection of Krukenberg tumor along with primary colonic malignancy.
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