Cervical adenocarcinoma presenting as an ovarian torsion

Background: Cervical adenocarcinoma is increasing in incidence and can rarely present as ovarian metastasis.Case: A 41-year-old female who presented with left lower quadrant pain and vomiting. Intra-operative findings revealed bilateral ovarian cysts with initial pathology results of mucinous ovarian adenocarcinoma. Final histopathology revealed an invasive poorly differentiated mucinous adenocarcinoma of the cervix.

Conclusions: Mucinous adenocarcinoma in the ovary is usually a metastasis and an extensive and comprehensive work-up is required to try to locate the primary tumor.Précis: Mucinous adenocarcinoma in the ovary is usually a metastasis and an extensive and comprehensive work-up is required to try to locate the primary tumor.