RT Book, Section
A1 Barlotta, Kevin S.
A1 Stack, Lawrence B.
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041057
T1 Sister Mary Joseph Node (Nodular Umbilicus)
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041057
RD 2023/03/28
AB A  Sister  Mary  Joseph  node  is  a  metastasis  manifesting  as  a  periumbilical  nodule  secondary  to  abdominal  or  pelvic  cancers  (one-half  are  gastrointestinal,  one-quarter  are  gynecologic).  Cancers  of  the  colon  may  cause  pain,  change  in  bowel  habits,  anemia,  and  obstruction.  In  general,  left-sided  cancers  cause  obstruction,  whereas  right-sided  tumors  may  have  significant  metastases  before  they  create  signs  and  symptoms.  These  metastases  typically  involve  peritoneal  and  omental  spread  with  distant  metastases  to  the  liver.  Spread  to  the  umbilicus  is  colloquially  known  as  the  Sister  Mary  Joseph  node.