Sister Mary Joseph nodule as the only sign of silent caecal adenocarcinoma

• Main Authors: Andrea Caulo, MD, Giulia Anello, MD, Rossella Rella, MD, Ilaria Sansoni, MD, Federica Capozza, MD, Pasquale Ialongo, MD
• Format: Article
• Language: English
• Published: Elsevier 2021-07-01
• Series: Radiology Case Reports
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043321002661
• ISSN: 1930-0433

Sister Mary Joseph nodule is a nodule localized in the umbilicus which represents a cutaneous metastasis from a primary cancer, mostly localized in the abdomen.We report the case of an 82-year-old woman who presented with an ulcerated umbilical nodule. Imaging identified it as a Sister Mary Joseph nodule, representing the only distant metastasis from a silent caecal adenocarcinoma.When an umbilical nodule is found at clinical examination imaging can play a crucial role in determining underlying pathology and in determining therapeutic strategy.