Sister Mary Joseph nodule

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Presented with a one month history of decreased appetite, vomiting, and weight loss. The patient had had no fevers or night sweats. Physical examination revealed a distended abdomen with a fluid wave, and a mass protruding through the umbilicus.

Patient Data

Age: 65 years
Gender: Female
ct

Computed tomographic scanning showed omental and hepatic metastases, ascites, and a mass at the umbilicus.

Case Discussion

Follow-up in a patient who underwent hystero-oophorectomy for ovarian cancer.

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