%A SKM Pampanagouda %A S Suryadevara %A V Kumar %A V Deshmane %A M Mukunda %J Online Journal of Health and Allied Sciences %T Umbilical Metastasis as the Manifestation of an Asymptomatic Gallbladder Carcinoma %X Sister Mary Joseph's nodule (SMJN) is an eponym used to describe the metastatic lesion of the umbilicus. Umbilical metastases are rare and its occurrence as a first manifestation of an asymptomatic primary malignancy is very rare. The gallbladder is the source of SMJN in 2%-3% of cases. SMJN can present in any one of the following ways; first manifestation of an occult primary malignancy, an indication of recurrence in a patient with a previous malignancy, or as progression of an underlying symptomatic primary disease. Our study emphasizes the importance of identifying this very useful and easily applicable clinical sign by careful physical examination of the abdomen, and also the need for proper clinical evaluation of any umbilical lesion, and the histological diagnosis. In the present study we report on a case of Sister Mary Joseph's Nodule as the presentation of an asymptomatic gallbladder carcinoma, and review the relevant literature. %N 1 %K Sister Mary Joseph's Nodule (SMJN); Umbilicus mass; Gall bladder carcinoma %E Dr Srinivas Kakkilaya %V 13 %D 2014 %I Kakkilaya BS %L cogprints9733