Figure it out fridays 

A 42 year old female with history of myomectomy 5 years ago, presented with an umbilical swelling developing over the last 6 months. The pain comes and goes with eventual leakage of brownish liquid. After MRI and biopsy, surgical management was decided and an umbilectomy was performed. What is the most likely diagnosis?

 

A. Strangulated umbilical hernia

B. Sister Mary Joseph nodule

C. Keloid

D. Umbilical endometriosis