Cullen's sign is seen in: March 2013
Acute cholecystitis
Acute pancreatitis
Acute hemorrhagic pancreatitis
Blunt injury abdomen
Ans. C i.e. Acute hemorrhagic pancreatitis Cullen's sign It is superficial edema and bruising in the subcutaneous fatty tissue around theumbilicus. It is named for Thomas S. Cullen (1869-1953), an obstetrician who first described the sign in ruptured ectopic pregnancy in 1916. This sign takes 24-48 hours to appear and can predict acute pancreatitis, with moality rising from 8-10% to 40%. It may be accompanied by Grey Turner's sign (bruising of the flank), which may then be indicative of pancreatic necrosis with retroperitoneal or intraabdominal bleeding.