Cullen sign

カレン徴候

WordNet

1. place signs, as along a road; "sign an intersection"; "This road has been signed"
2. (medicine) any objective evidence of the presence of a disorder or disease; "there were no signs of asphyxiation"
3. a perceptible indication of something not immediately apparent (as a visible clue that something has happened); "he showed signs of strain"; "they welcomed the signs of spring" (同)mark
4. a character indicating a relation between quantities; "dont forget the minus sign"
5. a fundamental linguistic unit linking a signifier to that which is signified; "The bond between the signifier and the signified is arbitrary"--de Saussure
6. a gesture that is part of a sign language
7. a public display of a message; "he posted signs in all the shop windows"
8. engage by written agreement; "They signed two new pitchers for the next season" (同)contract, sign on, sign_up
9. approve and express assent, responsibility, or obligation; "All parties ratified the peace treaty"; "Have you signed your contract yet?" (同)ratify
10. communicate silently and non-verbally by signals or signs; "He signed his disapproval with a dismissive hand gesture"; "The diner signaled the waiters to bring the menu" (同)signal, signalize, signalise
11. mark with ones signature; write ones name (on); "She signed the letter and sent it off"; "Please sign here" (同)subscribe
12. be engaged by a written agreement; "He signed to play the casino on Dec. 18"; "The soprano signed to sing the new opera"
13. communicate in sign language; "I dont know how to sign, so I could not communicate with my deaf cousin"
14. having a handwritten signature; "a signed letter"

PrepTutorEJDIC

1. (ある事実・状態・感情などの)『表れ』,印,気配,徴侯(indication);(…の)こん跡,計跡《+『of』+『名』》・『身ぶり』,手まね,合図 / 『標識』,看板 / (数学・音楽などの)記号 / (…の)『象徴』,シンボル(symbol)《+『of』+『名』》・《文》(…の)『前兆』,きざし《+『of』+『名』》・宮(きゅう)(黄道12区分の一つ) ・〈手紙・書類・作品など〉‘に'『署名する』・(…に)〈名前など〉‘を'書く《+『名』+『on』(『to』)+『名』》 / …‘を'雇う契約に署名する・…‘を'合図する,知らせる;…に合図する・署名する・契約書に署名して雇われる
2. =ti

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/10 17:06:04」(JST)

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Cullen's sign

Cullen's sign
DiseasesDB	17313

Cullen's sign is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus.

It is named for Thomas Stephen Cullen (1869–1953), gynecologist 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 mortality 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.

Causes

Causes include:

• acute pancreatitis, where methemalbumin formed from digested blood tracks around the abdomen from the inflamed pancreas
• bleeding from blunt abdominal trauma
• bleeding from aortic rupture
• bleeding from ruptured ectopic pregnancy

Importance of the sign is on a decline since better diagnostic modalities are now available.

References

Parikh RP, Upadhyay KJ. Cullen's sign for acute haemorrhagic pancreatitis. Indian J Med Res [serial online] 2013 [cited 2013 Jul 4];137:1210 http://www.ijmr.org.in/text.asp?2013/137/6/1210/114397

External links

• 745209861 at GPnotebook

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 急性膵炎の臨床症状および診断 clinical manifestations and diagnosis of acute pancreatitis
• 2. 救急外来における成人の腹痛の評価 evaluation of the adult with abdominal pain in the emergency department
• 3. 腹部大動脈瘤の臨床的特徴および診断 clinical features and diagnosis of abdominal aortic aneurysm
• 4. 卵巣嚢腫破裂の評価およびマネージメント evaluation and management of ruptured ovarian cyst
• 5. 成人における急性虫垂炎：臨床症状と診断 acute appendicitis in adults clinical manifestations and diagnosis

English Journal

• Sacrococcygeal teratoma presenting as perineal and periumbilical discoloration (cullen sign).

• Dancel LD, Gauderer MW, Markowitz JE.
• The Journal of pediatrics.2010 Dec;157(6):1041.
• PMID 20889161

• Cutaneous malignant melanoma metastatic to the vitreous.

• Prabhakaran VC, Font RL.
• Retina (Philadelphia, Pa.).2007 Mar;27(3):379-81.
• PMID 17460596

• Hoffstater-Cullen-Hellendal sign in ruptured tubal pregnancy in a patient with uterus didelphys and vagina duplex.

• Habek D, Kulas T, Bobi? MV.
• European journal of obstetrics, gynecology, and reproductive biology.2006 May 1;126(1):131-2. Epub 2006 Jan 18.
• PMID 16413956

Japanese Journal

• Cullen's Sign in Pancreatic Trauma

• SUGIMOTO Hiroyuki,INOUE Soichiro,OKOCHI Osamu,TOKORO Takamasa,KANEKO Tetsuya,TAKEDA Shin,NAKAO Akimasa
• Pancreas 24(4), 408-409, 2002-05-01
• NAID 10013986643

• Subcutaneous Manifestations of Severe Acute Pancreatitis

• BEM Jiri,BRADLEY III Edward L.
• Pancreas 16(4), 551-555, 1998-05-01
• NAID 10016409358

• Grey Turner's sign and Cullen's sign in acute pancreatitis

• MEYERS MA
• Gastrointest Radiol 14, 31-37, 1989
• NAID 30018033136

Related Links

• Cullen's sign - Wikipedia, the free encyclopedia

Cullen's sign is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. It is named for Thomas S. Cullen (1869-1953), an obstetrician who first described the sign in ruptured ectopic pregnancy in 1916. This sign ...

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★リンクテーブル★

リンク元	「カレン徴候」
関連記事	「sign」

「カレン徴候」

　　[★]

英

Cullen sign, Cullen's sign

同

Cullen徴候

急性膵炎における皮膚着色　→　　カレン徴候：臍周囲　　グレイ・ターナー徴候：左側腹部

概念

• 臍周囲が青紫色に着色すること。

原因疾患

• 子宮外妊娠の破裂
• 肝癌
• 経皮的肝生検
• 十二指腸潰瘍穿孔
• 膵炎(出血性膵炎、壊死性膵炎)

参考

• wikipedia

http://en.wikipedia.org/wiki/Cullen%27s_sign

• www.gastrointestinalatlas.com　-　一番下

http://www.gastrointestinalatlas.com/English/Jejuno_and_Ileum/Etc__Etc_/etc__etc_.html

• picture

http://upload.wikimedia.org/wikipedia/commons/3/3e/Cullen%27s_sign.jpg

http://www.gastrointestinalatlas.com/The_Cullen_sign1.jpg

-Cullen sign

「sign」

　　[★]

• n.

• 徴候、兆候、サイン、(数学)符号

関

indication、manifestation、signature、stigma、stigmata、symptom、symptomatic