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Ecchymosis: A Photo Essay

January 28, 2013

A Cullen sign, seen here, is a periumbilical ecchymosis classically associated with hemorrhagic pancreatitis. In this patient, the ecchymosis resulted from a rectus sheath hematoma caused by violent coughing.

Rectus sheath hematoma
Courtesy of D. Brady Pregerson, MD.

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