Case of Sister Mary Joseph’s Nodule Inpatient Who Underwent A Whipple Procedure
Journal
Gastroenterology medicine & research
Date Issued
2020-12-16
Author(s)
Antonio Gligorievski
Ivan Nevcev
DOI
10.31031/GMR.2020.05.000613
Abstract
Sister Mary Joseph’s nodule (SMJN) is a metastatic malignancy of the umbilicus which indicates advanced,
metastatic disease. Sister Mary Joseph nodule or Sister Mary Joseph Sign refers to a palpable nodule
bulging into the umbilicus as a result of metastasis of cancer in the abdomen or the pelvis. It is a rare
occurrence, but it is a sign of abdominal cancer, most commonly an adenocarcinoma metastasis from
a gastrointestinal (gastric, colonic, pancreatic cancer) or gynecologic primary malignancy. We present
the case of a 61-year-old man with an acute, something less than 1cm in diameter non-tender mass
located in the umbilicus, diagnostic indication of an SMJN. This patient, 4 months before was diagnosed
with pancreatic carcinoma and underwent a Whipple procedure with pathophysiology result of-
Adenocarcinoma capitis pancreatic pTNM= pT2 pN1 pMX. This little nodal change in the umbilicus was
an indication for further investigation so a computer tomography (CT) scan was done. Our findings are
discussed in the following case report.
metastatic disease. Sister Mary Joseph nodule or Sister Mary Joseph Sign refers to a palpable nodule
bulging into the umbilicus as a result of metastasis of cancer in the abdomen or the pelvis. It is a rare
occurrence, but it is a sign of abdominal cancer, most commonly an adenocarcinoma metastasis from
a gastrointestinal (gastric, colonic, pancreatic cancer) or gynecologic primary malignancy. We present
the case of a 61-year-old man with an acute, something less than 1cm in diameter non-tender mass
located in the umbilicus, diagnostic indication of an SMJN. This patient, 4 months before was diagnosed
with pancreatic carcinoma and underwent a Whipple procedure with pathophysiology result of-
Adenocarcinoma capitis pancreatic pTNM= pT2 pN1 pMX. This little nodal change in the umbilicus was
an indication for further investigation so a computer tomography (CT) scan was done. Our findings are
discussed in the following case report.
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Case of Sister Mary Joseph’s Nodule Inpatient Who Underwent A Whipple Procedure
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