Umbilical metastasis mimicking symptomatic hernia: Report of a case of Sister Mary Joseph Syndrome

Giovanni Cestaro; Marco De Monti; Suleyman Alkayyali; Fabrizio Fasolini; Francesco Salmoiraghi

doi:10.1016/j.ijscr.2017.10.016

Umbilical metastasis mimicking symptomatic hernia: Report of a case of Sister Mary Joseph Syndrome

Int J Surg Case Rep. 2017:41:105-106. doi: 10.1016/j.ijscr.2017.10.016. Epub 2017 Oct 17.

Authors

Giovanni Cestaro¹, Marco De Monti², Suleyman Alkayyali², Fabrizio Fasolini², Francesco Salmoiraghi²

Affiliations

¹ EOC - "Beata Vergine" Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland. Electronic address: giovanni.cestaro@eoc.ch.
² EOC - "Beata Vergine" Mendrisio Regional Hospital, Department of Surgery, Via Alfonso Turconi, 23, CH 6850, Mendrisio, Canton Ticino, Switzerland.

Abstract

Introduction: An umbilical mass can be the first symptom of an intra-abdominal neoplasia, and this condition is also defined as Sister Mary Joseph Syndrome.

Case presentation: An eighty-year-old patient presented with a complicated umbilical hernia. CT scan abdomen revealed a pancreatic neoplasm and an umbilical biopsy confirmed diagnosis of metastasis. Patient started chemotherapy by Oncologists.

Conclusions: In this paper the Authors suggest a histopathological evaluation of umbilical fat in all cases of newly emerging umbilical hernia in the adult population.

Keywords: Case report; Pancreatic neoplasm; Sister Mary Joseph syndrome; Umbilical metastasis.