Cullen's Sign
DESCRIPTION
Peri-umbilical ecchymoses.
ASSOCIATED with :
=>More common
♣Retroperitoneal bleeding
♣Post surgery
♣Iatrogenic - anticoagulation complication, postoperative
♣Rectus sheath haematoma
=>Less common
♣Ectopic pregnancy
♣Intrahepatic haemorrhage
♣Ischaemic bowel
♣Ruptured abdominal aortic aneurysm
♣Amoebic liver cyst
♣Perforated duodenal ulcer
=>More common
♣Retroperitoneal bleeding
♣Post surgery
♣Iatrogenic - anticoagulation complication, postoperative
♣Rectus sheath haematoma
=>Less common
♣Ectopic pregnancy
♣Intrahepatic haemorrhage
♣Ischaemic bowel
♣Ruptured abdominal aortic aneurysm
♣Amoebic liver cyst
♣Perforated duodenal ulcer
MECHANISM/S
The final common pathway in most mechanisms is retroperitoneal bleeding. The retroperitoneum is connected to the gastro-hepatic ligament and then to the falciform ligament and finally to the round ligament (the obliterated umbilical vein), which tracks to the abdominal wall around the umbilicus. When a haemorrhage (from any cause) occurs, blood is able to move along these ligaments to the abdominal wall to produce ecchymoses.
The final common pathway in most mechanisms is retroperitoneal bleeding. The retroperitoneum is connected to the gastro-hepatic ligament and then to the falciform ligament and finally to the round ligament (the obliterated umbilical vein), which tracks to the abdominal wall around the umbilicus. When a haemorrhage (from any cause) occurs, blood is able to move along these ligaments to the abdominal wall to produce ecchymoses.
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