Sister Mary Joseph’s nodule (SMJN): An alarming sign of pancreatic cancer for a radiologist

A 70-year-old female patient, from a rural area presented to local paramedics with generalised weakness and a blackish painful umbilical nodule. Her blood pressure was 130/80 mmHg and random blood sugar was 12.5 mmol/l. US of abdomen revealed “anterior abdominal wall sinus/abscess”. So dressing and antibiotics were advised. After 4 months, she visited our hospital, where an inflamed umbilical nodule, 2x3 cm with no ulcer was found (Figure 1).