Sister Mary Joseph nodule or Sister Mary Joseph Sign refers to a palpable nodule bulging into the umbilicus as a result of metastasis of a malignant cancer in the pelvis or abdomen. A rare case of Sister Mary Joseph nodule, manifesting as ascites, cachexia and bleeding per rectum, is presented without any primary tumor despite extensive search for the same.

2 patients with endometrial cancer stage II and 2 patients with cervical cancer stage Ib1 underwent totally laparoscopic radical hysterectomy (TLRH) in 2004. The patients were placed in the lithotomic position. Laparoscopy was performed through the umbilicus and three ancillary ports were placed in the diamond shaped usual position. Only bipolar coagulation was used to control bleeding. No uter...

Urachal adenocarcinoma is a rare neoplasm of the bladder. Most of these tumors arise from urachal remnants in the dome of the bladder and extend into the umbilicus. These tumors can recur and most commonly metastasize to lymph nodes, retroperitoneum, lungs, liver and bone. Here we report a case of an urachal adenocarcinoma followed for seven years with lung metastasis for three years.

2 patients with endometrial cancer stage II and 2 patients with cervical cancer stage Ib1 underwent totally laparoscopic radical hysterectomy (TLRH) in 2004. The patients were placed in the lithotomic position. Laparoscopy was performed through the umbilicus and three ancillary ports were placed in the diamond shaped usual position. Only bipolar coagulation was used to control bleeding. No uter...

Urachal remnant is a rare disorder of the genitourinary system. It frequently manifests with urine leakage from the umbilicus but can sometimes present as an infected process. We herein describe a case of a six-year-old male presenting with an urachal abscess initially thought to be a ruptured pelvic appendicitis.

We describe the case of a neonate with an umbilical hernia and persistent wet umbilicus. Examination revealed a pulsatile umbilical cord with palpable thrill. Doppler ultrasound suspected umbilical arteriovenous malformation and contrast-enhanced computed tomography was performed leading to a definitive diagnosis. Surgery was successfully performed on day 27.

Fourteen patients with COPD underwent elective procedures below the umbilicus, all receiving a standard anesthetic. They were randomized to one of four groups differentiated by the presence or absence of sighing during mechanical ventilation. Patients who were sighed experienced both statistically and clinically significant improvement in their oxygenation efficiency as measured by the alveolar...

Colocutaneous fistula caused by diverticulitis is relatively uncommon with colo-umbilical fistulas being even rarer. We herein report a rare case of a spontaneous colo-umbilical fistula due to diverticulitis of the sigmoid colon. The fistula developed from a diverticulum of the sigmoid colon that discharged through the umbilicus after two episodes of acute diverticulitis. The condition was succ...

We report the prenatal sonographic diagnosis of hydrometrocolpos caused by an imperforate hymen in a Down syndrome fetus, with spontaneous evacuation on the third day of life. In this case, sonographic evaluation in the 37th week revealed a large retrovesical, sharply marginated, heterogeneous, unilocular cystic structure within the fetal abdomen extending to the left side of the umbilicus.

A simple and easy-to-perform technique of umbilical reconstruction after repair of a large umbilical hernia is described. Two opposing skin flaps, an upper inverted Omega shaped flap, and a lower, lazy M-shaped flap were designed to create a deep, 3-dimensional, normal-appearing umbilicus in identical twins.