Question
Patient with Acute Abdomen Pain presented with the following picture . Diagnosis ?
A. Acute cholecystitis
B. Acute hemorrhagic pancreatitis
C. Ureteric Stone
D. Acute Hepatic Failure
Show Answer
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Correct Answer » C
Explanation
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Cullen’s sign
- It is superficial edema and bruising in the subcutaneous fatty tissue around theumbilicus.
- It is named for Thomas S. Cullen (1869-1953), an obstetrician who first described the sign in ruptured ectopic pregnancy in 1916.
- This sign takes 24-48 hours to appear and can predict acute pancreatitis, with mortality rising from 8-10% to 40%.
- It may be accompanied by Grey Turner’s sign (bruising of the flank), which may then be indicative of pancreatic necrosis with retroperitoneal or intraabdominal bleeding.
