Presentation
Diffuse abdominal pain and umbilical swelling.
Patient Data
Sigmoid colon mass with luminal compromise, regional edema and small lymph nodes.
Large peritoneal masses with omental cake abutting the anterior abdominal wall.
Localized umbilical mass suggests Sister Mary Joseph nodule.
Multiple peri hepatic peritoneal masses indenting its capsule.
Bilaterally enlarged adnexa likely involved with the peritoneal lesions suggests Krukenberg tumors.
Case Discussion
The Sister Mary Joseph nodule is a metastatic umbilical lesion, typically associated with widespread malignancy, as demonstrated in this case of advanced sigmoid colonic carcinoma with extensive peritoneal involvement.
The patient was subsequently transferred to a specialized oncology center for a comprehensive evaluation and further management. No additional data is available at this time.
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