Case Report Sister Mary Joseph's nodule (SMJN) is a metastatic umbilical tumor. It is a very rare condition, with a poor prognosis; however, it can be the first sign of intra-abdominal cancer, most commonly an adenocarcinoma metastasis from a gastrointestinal or gynecologic primary malignancy. We report a case of umbilical skin metastasis (or Sister Marie-Joseph's nodule) revealing bilateral ovarian adenocarcinoma in a 61-year-old patient. And through this case we emphasize on the delayed diagnosis associated with this tumor.

Pancreatic tuberculosis is a rare entity despite the high prevalence of tuberculosis in the world and in Morocco in particular. The pancreas, an organ normally protected against this infection, is only affected by hematogenous diffusion or not by contiguity through the peripancreatic lymph nodes. Its clinical expression can be either in the form of a pancreatic mass simulating a cancer, or an obstructive jaundice. The diagnosis, difficult to make, is often made only after surgical exploration. Here, we report a case of pancreatic pseudo-tumoral tuberculosis, presented with abdominal pain and weight loss.