Een vrouw met een bloedende navel

Diagnose in beeld
Jade Smorenburg, Mark D. van der Laan en Kim A.B.M. Pruissen-Peeters

A woman with a bleeding umbilical nodule

A 39-year-old woman was referred to the Dermatology outpatient clinic with a bleeding umbilical nodule. A Sister Mary Joseph’s nodule – an ominous sign of periumbilical cutaneous metasasis – was in the differential diagnosis. However, punch biopsy of the nodule revealed cutaneous endometriosis.

Conflict of interest and financial support: none declared.