Saudi Journal of Gastroenterology
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Year : 2012  |  Volume : 18  |  Issue : 5  |  Page : 345-346
Umbilical nodule in cholangiocarcinoma


Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, India

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Date of Web Publication18-Sep-2012
 

How to cite this article:
Agrawal V, Garg PK, Mohanty D, Jaswal V. Umbilical nodule in cholangiocarcinoma. Saudi J Gastroenterol 2012;18:345-6

How to cite this URL:
Agrawal V, Garg PK, Mohanty D, Jaswal V. Umbilical nodule in cholangiocarcinoma. Saudi J Gastroenterol [serial online] 2012 [cited 2019 Nov 12];18:345-6. Available from: http://www.saudijgastro.com/text.asp?2012/18/5/345/101143


A 17-year-old girl was admitted with complaints of jaundice for 2 months. She also had constant dull ache in right upper abdomen for 3 months. There was no other bowel or urinary complaint. Physical examination showed icterus, and bilateral pedal edema. Abdominal examination revealed umbilical nodule [Figure 1], abdominal distension, mild hepatomegaly, and presence of shifting dullness. Left supraclavicular lymph node was not palpable. Her total bilirubin was 22 mg/dL with conjugated component of 17.7 mg/dL and serum alkaline phosphatase was 1128 IU. Contrast-enhanced computed tomography suggested a small mass-forming cholangiocarcinoma in mid-common bile duct with proximal biliary dilatation. Fine-needle aspiration cytology from umbilical nodule showed metastatic adenocarcinoma. The patient did not consent to undergo endoscopic retrograde cholangiopancreaticography for brush cytology and biliary stenting.
Figure 1: Umbilical nodule

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Q1. What is this sign known as [Figure 1]?

Q2. What are the conditions in which this sign is seen?



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   References Top

1.Fratellone PM, Holowecki MA. Forgotten node: A case report. World J Gastroenterol 2009;15:4974-5.  Back to cited text no. 1
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2.Zadeh VB, Kadyan R, Al-Abdulrazzaq A, Al-Otaibi S, Sarhan A, Najem N. Sister Mary Joseph's nodule: A case of umbilical cutaneous metastasis with signet ring cell histology. Indian J Dermatol Venereol Leprol 2009;75:503-5.  Back to cited text no. 2
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3.Dar IH, Kamili MA, Dar SH, Kuchaai FA. Sister Mary Joseph nodule-A case report with review of literature. J Res Med Sci 2009;14:385-7.  Back to cited text no. 3
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Correspondence Address:
Pankaj K Garg
Room no. 2207, Ward 22, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi- 110 095
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.101143

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This article has been cited by
1 Cholangiocarcinoma Presenting as Sister Mary Joseph’s Nodule: Case Report and Short Review of the Literature
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[Pubmed] | [DOI]



 

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