Question
This 12-year-old presented with decreased appetite and vomiting. What is the most likely diagnosis?
- Endometrioma
- Hernia
- Keloid
- Intraabdominal cancer
- Urachal duct cyst
Correct Answer : Intra-abdominal cancer Explanation
Sister Mary Joseph's nodule is a lymphatic metastasis to the umbilical region.
This 12-year-old girl had presented with decreased appetite, vomiting, and weight loss. Computed tomographic scanning showed a large pelvic mass probably originating from the ovary, omental and hepatic metastases, ascites, and a mass through the umbilicus.
The appearance is not typical of the other listed diagnoses.