Severe Abdominal Pain in a Post-menopausal Obese Female
2011
Severe Abdominal Pain in a Post-menopausal Obese Female
publication
Author Information
Author(s): Yagnik Vipul D.
Primary Institution: Endo-Laparoscopy and General Surgical Hospital, Patan, Gujarat, India
Conclusion
The presence of periumbilical ecchymosis, known as Cullen sign, suggests possible acute hemorrhagic pancreatitis among other conditions.
Supporting Evidence
- Periumbilical ecchymosis is known as Cullen sign.
- Differential diagnosis for Cullen sign includes acute hemorrhagic pancreatitis, ruptured ectopic pregnancy, blunt abdominal trauma, coagulation disorders, retroperitoneal hemorrhage, and rectus sheath hematoma.
- Methemalbumin formed from digested blood in severe inflammatory processes is responsible for Cullen sign.
Takeaway
A 56-year-old woman had severe stomach pain and a bruise around her belly button, which can mean she has a serious condition called pancreatitis.
Participant Demographics
56-year-old post-menopausal obese female.
Digital Object Identifier (DOI)
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