A 44-yo woman had progressive abdominal distension x 1 yr that she believed to be a pregnancy. She did not seek care due to lack of insurance. A growth protruding through the umbilicus oozed serosanguinous fluid. What is it?
Malignancy (Sister Mary Joseph sign)
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Omphalith (umbilical concretion)
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Umbilical herniation
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Hydatidiform mole (molar pregnancy)
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Ascites from abdominal pregnancy
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