Ovarian metastases represent about 3-5% of all @entity43 . Most of these @entity5 originate in the digestive tract and @entity201 rarely involves the ovary. A 60-year-old @entity1 was admitted for the investigation of abdominal distension that had lasted 1 week. One and a half years prior, the @entity1 had undergone @entity2941 , Roux-en Y hepaticojejunostomy and cholecystectomy. Computed tomography scans of the abdomen revealed a papillary mass in the remnant distal common bile duct and enlargement of both ovaries with a huge amount of @entity843 . An explorative laparotomy disclosed no peritoneal seeding with resectable @entity201 and bilateral ovarian mass. Pylorus-preserving pancreatoduodenectomy and bilateral salphingo-oophorectomy with hysterectomy were performed. Histologically, it was a well-differentiated @entity420 and all surgical margins were free of @entity5 . Both ovarian masses were consistent with metastatic @entity420 from the common bile duct. The @entity1 received six cycles of postoperative adjuvant systemic chemotherapy, dying after 10 months due to @entity1151 .

Bilateral ovarian metastasis from distal common bile duct carcinoma developing after XXXX .

@entity43 :: ('MESH:D010051', 'Disease') :: ['ovarian malignancies'] @entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity2941 :: ('MESH:D015529', 'Disease') :: ['choledochal cyst excision'] @entity843 :: ('MESH:D001201', 'Disease') :: ['ascites'] @entity1151 :: ('MESH:D011655', 'Disease') :: ['pulmonary embolism'] @entity201 :: ('MESH:D018281', 'Disease') :: ['cholangiocarcinoma'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma']
@entity2941 :: (MESH:D015529,Disease) :: ['choledochal cyst excision']
