Saudi Journal of Gastroenterology
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Year : 2011  |  Volume : 17  |  Issue : 1  |  Page : 80-81
Severe abdominal pain in a post-menopausal obese female

Ronak Endo-Laparoscopy and General Surgical Hospital, Patan -384265, Gujarat, India

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Date of Web Publication31-Dec-2010

How to cite this article:
Yagnik VD. Severe abdominal pain in a post-menopausal obese female. Saudi J Gastroenterol 2011;17:80-1

How to cite this URL:
Yagnik VD. Severe abdominal pain in a post-menopausal obese female. Saudi J Gastroenterol [serial online] 2011 [cited 2019 Oct 23];17:80-1. Available from:

A 56-year-old female came to emergency department with complaints of severe abdominal pain in the epigastric region with abdominal distention. She had also complained of fever. No significant past medical or surgical history was available. Her pulse rate and respiratory rate were 110/min and 26/min, respectively. On examination of abdomen, belly was distended with guarding and rigidity and periumbilical ecchymosis [Figure 1]. She was post-menopausal. Per-vaginal and per-rectal examination were normal.
Figure 1: Periumbilical ecchymosis

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   Questions Top

Q1. What is the sign known as and what is the differential diagnosis?

Q2. What is the mechanism of formation in acute pancreatitis?

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   References Top

1.Bosmann M, Schreiner O, Galle PR. Coexistence of Cullen's and Grey Turner's signs in acute pancreatitis. Am J Med 2009;122:333-4.   Back to cited text no. 1
2.Cullen TS. Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus. London: Philadelphia, Saunders; 1916.  Back to cited text no. 2

Correspondence Address:
Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan - 384 265, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.74447

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