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13 Possible Causes for Cullen's Sign, Pelvic Hematoma, X-Ray Abnormal

  • Retroperitoneal Hematoma

    ’s sign (periumbilical ecchymosis) – late finding Grey-Turner’s sign (ecchymosis of the flanks) – late finding *History of risk factors as above Evaluation and Diagnosis 1,3,4,5[emdocs.net] One complication of femoral artery catheterization is postprocedure pelvic hematoma. These hematomas can be difficult to differentiate from adnexal masses.[ncbi.nlm.nih.gov] Eponymictionary – Cullen sign Journal articles Chan YC, Morales JP, Reidy JF, Taylor PR.[lifeinthefastlane.com]

  • Retroperitoneal Hemorrhage

    , but may have Cullen’s sign (umbilical ecchynosis) and Gray-Turner’s sign (flank ecchymosis) /- palpable swelling haematuria haemodynamic instability and shock evidence of[lifeinthefastlane.com] […] of abdomen Abnormal ultrasound of liver Erect abdominal X-ray abnormal Imaging of abdomen abnormal Imaging of liver abnormal Imaging of spleen abnormal Magnetic resonance[icd9data.com] Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[ncbi.nlm.nih.gov]

  • Traumatic Rupture of the Kidney

    First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[radiologyassistant.nl] One (1) patient died of an infected pelvic hematoma and sepsis. Main risk factor for complications is poor drainage of the catheter.[east.org] hematoma is reabsorbed.[auanet.org]

  • Penetrating Abdominal Trauma

    Cullen's sign is bruising around the umbilicus.[emsworld.com] Cullen's sign - ie periumbilical ecchymosis - may indicate retroperitoneal haemorrhage. However, this symptom usually takes several hours to develop.[patient.info] Two bruising patterns worth noting are Cullen's sign and Grey-Turner's sign, both of which indicate retroperitoneal hemorrhage.[emsworld.com]

  • Traumatic Aortic Rupture

    Chest x-ray abnormalities are common but may be absent and are often nonspecific; better aortic imaging studies include CT angiography, aortography, and transesophageal echocardiography[merckmanuals.com] Head injury and pelvic fractures may be further predictors of TAR.[symptoma.com] When looking at the chest X-ray, a clear aortic outline from the arch down to the diaphragm is the best way to exclude significant aortic injury.[trauma.org]

  • Leaking Aortic Aneurysm

    Angiography: This exam, which uses x-rays, CT or MRI and a contrast material to produce pictures of major blood vessels throughout the body, is used to help identify abnormalities[radiologyinfo.org] Aortography is an X-ray procedure done after a contrast or X-ray dye is injected into the bloodstream to show the areas where blood is flowing.[emedicinehealth.com] A CT scan is an X-ray that shows much more detail of the organs, blood vessels, and other structures inside the body.[emedicinehealth.com]

  • Splenic Hematoma

    Cullen's sign is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus.[en.wikipedia.org] @inbook{dfb1cccb290a4e0fab4164f2ec127e32, title "Calcified splenic hematoma presenting as a pelvic mass.[tmu.pure.elsevier.com] Herein, we report on a senile female with blunt abdominal trauma 6 years previous, who turned out to have a calcified splenic hematoma with clinical presentations of a palpable[ncbi.nlm.nih.gov]

  • Abdominal Injury

    Cullen's sign - ie periumbilical ecchymosis - may indicate retroperitoneal haemorrhage. However, this symptom usually takes several hours to develop.[patient.info] The prediction rule consisted of (in descending order of significance): aspartate aminotransferase 200 U/L, abnormal abdominal examination, abnormal chest x-ray, report of[ncbi.nlm.nih.gov] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[radiologyassistant.nl]

  • Bleeding from an Ectopic Pregnancy

    Abdominal examination: Cullen’s sign: a periumbilical bluish discoloration may be present due to absorption of the blood in the peritoneal cavity by lymphatics.[gfmer.ch] […] pain Bruising, hematoma, possible accompanying injuries Painless vaginal bleeding Differential diagnosis Findings PCOS Amenorrhea, oligomenorrhea, as well as breakthrough[amboss.com] Special investigations: Plain X-ray: shows abnormal lie. In lateral view, the foetus overshadows the maternal spines.[gfmer.ch]

  • Hematoma

    ).[ 2 3 4 9 ] In cases of large retroperitoneal hematomas, ecchymotic lesions in the flanks (Grey Turner's sign) or in the peri-umbilical area (Cullen's sign) may be noted[surgicalneurologyint.com] AoS indicates acute aortic syndrome; CT, computed tomography; CXR, chest x-ray (radiograph); HTN, hypertension; and TEE, transesophageal echocardiogram.[ahajournals.org] Severe pelvic adhesion around the left ovary forming corpus luteum hematoma was identified.[ncbi.nlm.nih.gov]

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