Cullen's sign: Difference between revisions
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== Overview == | == Overview == | ||
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==Etymology== | ==Etymology== | ||
It is named for Thomas S. Cullen (1869-1953),<ref>{{WhoNamedIt|synd|1386}}</ref> who was an [[obstetrician]] and first described the sign in ruptured ectopic pregnancy in 1916.<ref>T. S. Cullen. Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus. Philadelphia, Saunders, and London, 1916. </ref> | It is named for Thomas S. Cullen (1869-1953),<ref>{{WhoNamedIt|synd|1386}}</ref> who was an [[obstetrician]] and first described the sign in ruptured ectopic pregnancy in 1916.<ref>T. S. Cullen. Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus. Philadelphia, Saunders, and London, 1916. </ref> | ||
==Pathophysiology== | ==Pathophysiology== | ||
This sign takes 24-48 hours to appear and predicts a severe attack of [[acute pancreatitis]], with mortality rising from 8-10% to 40%. | This sign takes 24-48 hours to appear and predicts a severe attack of [[acute pancreatitis]], with mortality rising from 8-10% to 40%. | ||
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==References== | ==References== | ||
{{Reflist|2}} | |||
{{Eponymous medical signs for digestive system and general abdominal signs}} | {{Eponymous medical signs for digestive system and general abdominal signs}} | ||
[[Category:Medical signs]] | [[Category:Medical signs]] | ||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
Latest revision as of 17:48, 3 December 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Cullen's sign is blue-black bruising of the area around the umbilicus.
Etymology
It is named for Thomas S. Cullen (1869-1953),[1] who was an obstetrician and first described the sign in ruptured ectopic pregnancy in 1916.[2]
Pathophysiology
This sign takes 24-48 hours to appear and predicts a severe attack of acute pancreatitis, with mortality rising from 8-10% to 40%.
It may be accompanied by Grey-Turner's sign (bruising of the flank).
Diagnosis
Common Causes
Causes include:
- acute pancreatitis, where methaemalbumin formed from digested blood tracks around the abdomen from the inflamed pancreas
- bleeding from blunt abdominal trauma
- bleeding from ruptured ectopic pregnancy
Physical Examination
Skin
Importance of the sign is on a decline since better diagnostic modalities are now available
References
- ↑ Template:WhoNamedIt
- ↑ T. S. Cullen. Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus. Philadelphia, Saunders, and London, 1916.
Template:Eponymous medical signs for digestive system and general abdominal signs