IMAGES IN EMERGENCY MEDICINE
Sister Mary Joseph’s nodule
Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan
Correspondence to:
Correspondence to:
C-J Chou
Department of Emergency Medicine, Chi-Mei Me, 901 Chung-Twa Road, Yung-Kang City, Tainan 710, Taiwan; chouchihju@yahoo.com.tw
Keywords: Sister Mary Joesph’s nodule
| The first 150 words of the full text of this article appear below. |
A 23 year old man visited the emergency department because of the abdominal fullness that had been bothering him for several months. The associated symptoms included intermittent tenesmus, frequent defecation, and anorexia. During physical examinations, a bluish and firm nodule was palpable over the umbilicus (fig 1
).
[in a new window] Figure 1 Photo of nodule
| |||||||||
Computed tomography scan of the abdomen showed intra-abdominal carcinomatosis with an umbilical metastatic nodule (fig 2). Fine needle aspiration of the nodule revealed desmoplastic small round cell tumour.
[in a new window] Figure 2 Computed tomography scan of the abdomen
| |||||||||
"Sister Mary Joseph’s nodule" was named in recognition of Sister Mary Joseph—a first assistant to Dr William Mayo in the early days of Mayo Clinic.1 The most common origin of the metastatic nodule was gastrointestinal cancer, followed by gynaecologic cancer and thoracic cavity. Since the prognosis is extremely poor, with a mean survival of only a few months, surgery is usually not indicated. Meticulous
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
