Signs
 

Cullen’s Sign

Bookmark

Cullen's Sign

  • The presence of Cullen's sign and Grey-Turner's sign are suggestive of retroperitoneal haemorrhage.
  • Cullen's sign occurs due to tracking of blood along the gastrohepatic and falciform ligaments into the umbilical area.
    • Look For

    • Bluish discolouration / bruising around the umbilicus.
    • Causes of Cullen's Sign

    • Pancreatic - acute pancreatitis, trauma
    • Gynaecologic - ruptured ectopic pregnancy, ovarian enlargement
    • Gastrointestinal - perforated duodenal ulcer
    • Hepatobiliary - hepatocellular carcinoma, lymphoma, amoebic abscess
    • Splenic - rupture
    • Vascular - ruptured AAA / internal iliac aneurysm
    • Iatrogenic
  • Cullen's sign was first identified by Cullen in 1918 in a patient with ruptured ectopic pregnancy. Over time it has been associated with acute haemorrhagic pancreatitis and then many other conditions, though the common thread is the presence of retroperitoneal haemorrhage.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Want more info like this?
  • Your electronic clinical medicine handbook
  • Guides to help pass your exams
  • Tools every medical student needs
  • Quick diagrams to have the answers, fast
  • Quizzes to test your knowledge
Explore
   
 
Feedback