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Peritoneal Carcinomatosis Presenting as a Sister Mary Joseph Nodule

Peritoneal Carcinomatosis Presenting as a Sister Mary Joseph Nodule SRU CASES OF THE DAY Peritoneal Carcinomatosis Presenting as a Sister Mary Joseph Nodule John DeBardeleben, MD, Micah Cohen, MD, and Shuchi K. Rodgers, MD Dr William Mayo in Rochester, Minn, from 1890 to 1915 CLINICAL HISTORY and the first to associate umbilical nodules with diffuse A 57-year-old woman with 1-year history of tender, palpable intraperitoneal malignancy. periumbilical mass presents to our outpatient ultrasound (US) The differential diagnoses of endometrial implant, rectus department to “rule out hernia.” hematoma, desmoid tumor, and congenital umbilical masses were less likely based on imaging appearance, the age of the pa- IMAGING FINDINGS tient (57 years), clinical time course of more than 1 year, lack of Ultrasound images of the umbilical region using low- and bleeding tendency, and lack of abdominal surgical history. high-frequency transducers demonstrate a lobulated solid mass Umbilical metastases appear as tender, firm nodules that may with cystic areas and internal vascularity on color Doppler 1,2 ulcerate and drain purulent or serosanguineous discharge. In (Fig. 1). Because of suspicion for a peritoneal tumor implant, 1 series, 50% of metastatic umbilical implants were from gas- sonographic survey of the abdomen and pelvis was performed trointestinal malignancies (eg, stomach), with 25% from un- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Ultrasound quarterly Wolters Kluwer Health

Peritoneal Carcinomatosis Presenting as a Sister Mary Joseph Nodule

Ultrasound quarterly , Volume Publish Ahead of Print – Apr 1, 2017

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
0894-8771
eISSN
1536-0253
DOI
10.1097/RUQ.0000000000000314
Publisher site
See Article on Publisher Site

Abstract

SRU CASES OF THE DAY Peritoneal Carcinomatosis Presenting as a Sister Mary Joseph Nodule John DeBardeleben, MD, Micah Cohen, MD, and Shuchi K. Rodgers, MD Dr William Mayo in Rochester, Minn, from 1890 to 1915 CLINICAL HISTORY and the first to associate umbilical nodules with diffuse A 57-year-old woman with 1-year history of tender, palpable intraperitoneal malignancy. periumbilical mass presents to our outpatient ultrasound (US) The differential diagnoses of endometrial implant, rectus department to “rule out hernia.” hematoma, desmoid tumor, and congenital umbilical masses were less likely based on imaging appearance, the age of the pa- IMAGING FINDINGS tient (57 years), clinical time course of more than 1 year, lack of Ultrasound images of the umbilical region using low- and bleeding tendency, and lack of abdominal surgical history. high-frequency transducers demonstrate a lobulated solid mass Umbilical metastases appear as tender, firm nodules that may with cystic areas and internal vascularity on color Doppler 1,2 ulcerate and drain purulent or serosanguineous discharge. In (Fig. 1). Because of suspicion for a peritoneal tumor implant, 1 series, 50% of metastatic umbilical implants were from gas- sonographic survey of the abdomen and pelvis was performed trointestinal malignancies (eg, stomach), with 25% from un-

Journal

Ultrasound quarterlyWolters Kluwer Health

Published: Apr 1, 2017

References