The Sister Mary Joseph's nodule is a significant finding in the physical ex
amination. It is sometimes the only indication of an intra-abdominal metast
atic malignancy. We report a patient who presented with an umbilical nodule
that was discovered to be an omphalith. A review of the literature discuss
es the Sister Mary Joseph's nodule and this unusual finding. (Am J Gastroen
terol 1999;94:1949-1950. (C) 1999 by Am. Cell. of Gastroenterology).