[Pancreatic cancer presenting as an umbilical metastasis]

A 77-year-old man was seen at the emergency care unit, as biopsies from an umbilical mass showed adenocarcinomatic metastasis, originating from an upper gastrointestinal cancer. CT and magnetic resonance cholangiopancreatography raised the suspicion of a Klatskin tumour and furthermore showed a 2.5 cm tumour in the pancreas. The patient was treated with gemcitabin as palliating chemotherapy, suspecting the pancreatic tumour to be the primary cancer.