Periumbilical ecchymosis

(A) Reddish discoloration, the so-called Cullen's sign, was seen around the patient's umbilicus.
(B) Intraoperative findings: marked hemorrhage in the mesocolon was seen.

Reproduced with permission from: Sugimoto H, Inoue S, Okochi O, et al. Cullen's Sign in Pancreatic Trauma. Pancreas 2002; 24:408. Copyright © 2002 Wolters Kluwer Health, Lippincott Williams & Wilkins. Unauthorized reproduction of this material is prohibited.

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