This is a 29-year-old woman, history of stage IIIb colon adenocarcinoma, left hemicolectomy in 2018, lost to follow-up and continues her normal sex life, a few years later, to start noticed a feeling of heaviness in the lower abdomen but in principle she was ignored days after increase in volume of the abdomen and 3 months later without menstruation and for the very fast form of growth of the abdomen,  thinking it was a pregnancy and after the physical examination the doctor was confirmed the diagnosis with his ATCD, was transferred to the oncology hospital, the first imaging examination diagnosed a bilateral pyelocalicial dilatation and two latero-uterine masses of mostly cystic echogenicity, follow-up, uroCT scan, in favor of bilateral UHN anterior to a large left laterouterine mass,  Large left laterouterine mass, polylobed, hypodense, contain septa with a fleshy parietal portion enhanced after injection of PDC associated left adrenal nodule at the expense of the outer arm and peritoneal effusion of low abundance. MRI showing two multiseptate cystic laterouterine mass with tissue repressing pelvic and peritoneal structures, first suggestive of Krukenberg's disease; CA 125 biological examination reporting a discrete increase (39.40 ul/ml VR=<36 ul/ml); CT PET in favor of suspicious left adrenal nodular hypermetabolism with no other suspicious hypermetabolic on the rest of the volume explored. The is currently on chemoradiation.

This is a case of poorly differentiated adenocarcinoma with catkin ring cells of undetermined origin in a 29-year-old woman with no particular history. This tumor is complicated by multiple osteoblastic bone metastases, Krukenberg tumors (TK) and probable peritoneal dissemination.