December 1964

Umbilical Metastases

Author Affiliations


From the departments of medicine and radiology, Baylor University College of Medicine.; Assistant Resident in Medicine (Dr. Horn); Assistant Professor of Medicine and Director, Medical In-Patient Service, Ben Taub General Hospital (Dr. Fred); Associate Professor of Medicine and Pharmacology (Dr. Lane); Instructor in Radiology (Dr. Hudgins).

Arch Intern Med. 1964;114(6):799-802. doi:10.1001/archinte.1964.03860120111012

Introduction  When someone looks at anything, it's nothing or a many-thingThe eyes of the beholder make it trivial or great Solomon without a flicker called it "globlet full of liquor"And for the umbilicus that is very high estate.Bean1Occasionally, abnormalities of the umbilicus supply important clues to the diagnosis of internal disease. Periumbilical ecchymosis may signal intra-abdominal or retroperitoneal hemorrhage.2 Distended veins encircling and radiating from the navel suggest cirrhosis of the liver.3 A prominent paraumbilical vein(s) over which a continuous murmur and thrill can be demonstrated is another manifestation of portal hypertension.4 The discharge of pus from the navel sometimes heralds pelvic or abdominal abscesses,5 while the seepage of bloody material from this structure may occur as a consequence of umbilical endometriosis.6 In a few instances the "belly button" serves as an exit for urine,7 ascitic fluid,8,9 feces, gallstones, round worms, Echinococcus daughter cysts, foreign

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