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Cullen's Sign in Pancreatic Trauma

Cullen’s sign (1) is named after Cullen, professor of gynecology at Johns Hopkins University, who in 1918 described the occurrence of the sign in a patient with a ruptured ectopic pregnancy. Now, it is more commonly observed in acute pancreatitis and rupture of an abdominal aortic aneurysm (2). This sign has also been described in other situations such as perforated duodenal ulcer (3), liver disease (4), and splenic rupture (5). However, to our knowledge, there has been no report of this sign associated with trauma. We report herein a rare case of Cullen’s sign following pancreatic blunt trauma.