Intended for healthcare professionals

Endgames Case Scenario

Sister Mary Joseph nodule

BMJ 2015; 351 doi: (Published 15 October 2015) Cite this as: BMJ 2015;351:h5224
  1. Thabo Miller, trust grade in general and emergency surgery,
  2. Jennifer Ashworth, nurse practitioner in general and emergency surgery,
  3. Sarah Richards, consultant in general and emergency surgery
  1. 1Department of Surgery, Royal United Hospital Bath, Bath BA1 3NG, UK
  1. Correspondence to: T Miller thabomiller{at}

A 79 year old woman was referred by her GP because of a 2×2 cm irregular mass at her umbilicus with a discoloured and rough surface. …

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