LAUSR

Umbilical hernia repair is the second most common type of hernia surgery after inguinal hernia repair. Depending on the surgical technique, complications occur in 5–25% and include wound infections and abscesses [1]. Pancreatic cancer is a fatal disease most commonly diagnosed at an advanced stage. It is typically asymptomatic or causes unspecific symptoms. Over 80% of the patients do not qualify for curative surgical resection due to locally advanced or metastasized disease. Common sites of metastasis include liver, lungs, peritoneum, and lymph nodes [2]. Umbilical metastasis originating from pancreatic cancer, also known as Sister Mary Joseph’s nodule (SMJN), is an extremely rare occurrence [3]. We report the cases of two patients who presented to our department with ulcerated umbilical lesions and had a history of umbilical hernia repair.