Een man met een rode navel

Diagnose in beeld
Simon B. Kramer, Sadhanna Badeloe en Willem G. Wassenaar

A man with a red umbilicus

A 76-year-old man was sent to the dermatology department because of a red, sore belly button since 3 weeks. Based on histology, a CT-scan and increased Cancer Antigen 19-9 levels, this was interpreted as a pancreas carcinoma metastasis. This type of metastasis is also called a ‘Sister Mary Joseph’s nodule’.

Conflict of interest and financial support: none declared.