Bluish discoloration around umbilicus?......is this ๐ŸŒ Banana belly?

MBBS
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When there is intra - abdominal bleeding then there is bluish discoloration around umbilicus.
This is called # Cullen sign

  • CAUSES

Acute pancreatitis
Ruptured ectopic
Trauma

Letโ€™s discuss more about it!

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And when discoloration is in flanks area = Grey Turner sign or simply Turner sign.

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Can be seen in conditions like :-

  1. Acute Hemorrhagic Pancreatitis
  2. Abdominal trauma
  3. Ruptured Abdominal Aortic Aneurysm (AAA)
  4. Ruptured ectopic pregnancy
  5. Perforated peptic ulcer
  6. Liver diseases with bleeding
  7. Rectus Sheath Hematoma
  8. Coagulopathies
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Can it be confused with blunt trauma? What would confirm it as cullens sign?

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Blunt trauma is definitely a DDx. But,history and local exam and further investigationa should help us reach the diagnosis.

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The bluish discoloration around the umbilicus is likely Cullenโ€™s sign, which can indicate intra-abdominal bleeding or pancreatitis. Itโ€™s not related to โ€œBanana belly,โ€ which doesnโ€™t seem to be a medical term. Cullenโ€™s sign requires prompt medical evaluation.

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Frankโ€™s Sign :-Diagonal earlobe crease.
Associated with:Coronary artery disease

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Cullen sign indicates intra-abdominal bleeding causing periumbilical bruising.
Common causes: acute pancreatitis, ruptured ectopic pregnancy, abdominal trauma, ruptured abdominal aortic aneurysm, and hemorrhagic intra-abdominal conditions.

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Yes

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How acute pancreatitis causes bleeding?

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It releases powerful enzymes that can digest nearby blood vessel walls, causing them to leak or rupture and leads to bleeding or fragile pseudoaneurysms that burst.