Cullen Sign is described as bruising around the

Cullen Sign is described as bruising around the

• A. Flank bruising
• B. Periumbilical bruising (internal bleeding)
• C. Left shoulder pain
• D. Bruising around the ankles

Answer: (B)

Cullen sign is bruising around the umbilicus, indicating intraperitoneal bleeding. Blood from the abdominal cavity can track along the falciform ligament to the periumbilical area, producing a bluish discoloration around the navel. It’s a late sign of intra-abdominal hemorrhage and can accompany conditions like trauma, pancreatitis, or ruptured ectopic pregnancy. This is different from Grey Turner's sign, which is flank bruising, and Kehr's sign, which is referred pain to the left shoulder from diaphragmatic irritation. Bruising around the ankles isn’t related to intra-abdominal bleeding.

Cullen sign is bruising around the umbilicus, indicating intraperitoneal bleeding. Blood from the abdominal cavity can track along the falciform ligament to the periumbilical area, producing a bluish discoloration around the navel. It’s a late sign of intra-abdominal hemorrhage and can accompany conditions like trauma, pancreatitis, or ruptured ectopic pregnancy. This is different from Grey Turner's sign, which is flank bruising, and Kehr's sign, which is referred pain to the left shoulder from diaphragmatic irritation. Bruising around the ankles isn’t related to intra-abdominal bleeding.