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Cullen Sign Associated with External Iliac Artery Aneurysm Rupture: A Case Report
Kendra M Douglas1, William R Davis1, Jaron D Raper1
1University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.
Clinical Practice and Cases in Emergency Medicine
|February 4, 2025
Summary
Cullen sign, often linked to pancreatitis, can indicate rare external iliac artery aneurysms. This case highlights the need to consider ruptured aneurysms as a cause of this abdominal bruising.
Area of Science:
- Vascular Surgery
- Abdominal Imaging
- Symptomatology
Background:
- Cullen sign is periumbilical ecchymosis from hemorrhage, commonly associated with acute pancreatitis.
- It signifies blood tracking along the round ligament, indicating retroperitoneal or abdominal bleeding.
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