Image in medicine
Sister Mary Joseph's nodule mimicking umbilical hernia
Nódulo de la hermana María José que simula una hernia umbilical
Alberto Alén Andrés
, Ignacio de la Iglesia Fanjul
Corresponding author
Hospital Universitario Central de Asturias, Oviedo, Spain
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Physical examination revealed palpable hepatomegaly and an umbilical nodule (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Abdominal computed tomography showed thickening of the gastric wall and reported an umbilical hernia with fatty contents (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Endoscopic sampling of the gastric wall showed a positive result for intestinal-type gastric cancer. Subsequently, it was decided to perform a biopsy of the umbilical nodule, the result of which was compatible with adenocarcinoma metastasis, thus confirming the suspected diagnosis of Sister Mary Joseph’s nodule. The patient was not a candidate for active treatment and died three months after diagnosis.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Sister Mary Joseph’s nodule is a localised metastasis at the umbilical level usually associated with gastrointestinal or gynaecological tumours. This suspicion should be taken into account when assessing imaging tests in patients with neoplasms. As we can see in this illustrative case, it can mimic an umbilical hernia and, if the clinical suspicion is not adequate, it can lead to an erroneous staging of the tumour in the extension work-up.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">No sources of funding.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 830 "Ancho" => 930 "Tamanyo" => 130637 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 956 "Ancho" => 1583 "Tamanyo" => 145893 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016100000007/v2_202311091450/S2387020623003674/v2_202311091450/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000016100000007/v2_202311091450/S2387020623003674/v2_202311091450/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623003674?idApp=UINPBA00004N" ]
