Journal of Gastrointestinal Cancer

, Volume 50, Issue 1, pp 113–115 | Cite as

Surprising Twist in the Plot – Sister Mary Joseph’s Nodule of Pancreatic Cancer Mimicking Wound Infection after Umbilical Hernia Repair

  • Andreas M. LuuEmail author
  • K. Meurer
  • T. Herzog
  • J. Munding
  • W. Uhl
  • C. Braumann
Case Report


Umbilical hernia repair is the second most common type of hernia surgery after inguinal hernia repair. Depending on the surgical technique, complications occur in 5–25% and include wound infections and abscesses [1].

Pancreatic cancer is a fatal disease most commonly diagnosed at an advanced stage. It is typically asymptomatic or causes unspecific symptoms. Over 80% of the patients do not qualify for curative surgical resection due to locally advanced or metastasized disease. Common sites of metastasis include liver, lungs, peritoneum, and lymph nodes [2].

Umbilical metastasis originating from pancreatic cancer, also known as Sister Mary Joseph’s nodule (SMJN), is an extremely rare occurrence [3].

We report the cases of two patients who presented to our department with ulcerated umbilical lesions and had a history of umbilical hernia repair.

Case 1

A 62-year-old female patient was referred to our department complaining of an oozing and ulcerating umbilical lesion. She had...


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


This study was not funded.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of General and Visceral Surgery, St. Josef-HospitalRuhr-University BochumBochumGermany
  2. 2.Institute of Pathology, University-Hospital BergmannsheilRuhr-University BochumBochumGermany

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