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href="https://imagexinnovation.com/category/articles/" rel="category tag">Articles</a></div> <h1 class="post-title">sinal Cullen</h1> <div class="post-meta"> <div class="post-author"> <span>posted by: </span><a href="https://imagexinnovation.com/pt/author/admin/" title="Artigos de admin" rel="author">admin</a> </div> <div class="date-post"> <i class="far fa-clock"></i>Setembro 28, 2020 </div> </div> </div> <div class="post-info"> <div class="post-content"> <h5>Descrição</h5> <p style="font-size:17px">sinal Cullen: edema superficial com nódoas negras no tecido adiposo subcutâneo em torno da região peri-umbilical. Originalmente descrito em associação com a gravidez ectópica.,</p> <p style="font-size:17px">Cullen sinal tem sido descrito em uma miríade de cenários clínicos, incluindo pancreatite aguda; músculo reto abdominal hematoma; maciça ovárico; ameba abcesso do fígado; ruptura esplênica; úlcera duodenal perfurada; metástases do cancro da tiróide; intra-abdominal não-Hodgkin e como uma complicação de anticoagulação.</p> <div style="color:#ddd"></div> <h5>History of the Cullen sign </h5> <p>1905 – Joseph Louis Ransohoff II described a man of fifty-three who presented a something obscure abdominal condition., Isto foi associado com icterícia do umbigo e da região umbilical. Na operação ruptura do ducto comum foi encontrado e o abdômen continha uma grande quantidade de bílis livre. A parede abdominal era especialmente fina no umbigo, e a absorção da bílis foi claramente vista neste ponto.,</p> <p>1918-Thomas Stephen Cullen descreveu pela primeira vez uma descoloração Negra azulada da pele periumbilar numa doente do sexo feminino com uma gravidez extra-uterina rompida com “sem história de lesão” </p> <p>ele concluiu que o aspecto umbilical foi devido a uma hemorragia intra-abdominal secundária a uma gravidez ectópica., Ele originalmente descrito a encontrar na 43ª reunião anual das Operações da American ginecológico sociedade, Pensilvânia Pode 16-18, 1918 </p> <blockquote> <p>A paciente, uma mulher de trinta e oito anos de idade, de repente desenvolveu dor abdominal e distensão. O Dr. Cullen viu-a três semanas depois. A região umbilical era preta azulada, embora ela não deu nenhum histórico de lesão. O exame Vaginal não revelou nada devido à distensão abdominal. Sob o éter, no entanto, uma massa de 8 X 6 cm. foi claramente sentida à direita do útero. Dr., Cullen diagnosticou imediatamente uma gravidez extra-uterina, embora a paciente não tenha perdido nenhum período e não tenha havido hemorragia uterina. Ao abrir o abdômen, ele encontrou uma gravidez extrauterina do lado direito e cerca de um quarto e meio de sangue livre no abdômen.</p> <p> Cullen TS 1918 </p></blockquote> <p>Cullen expandiu-se no relatório, em Contribuições para a Medical and biological Research, um volume de dois tomé dedicado a Sir William Osler, por ocasião do seu septuagésimo aniversário, em 12 de julho de 1919.</p> <blockquote> <p>Bearing Dr., Ransohoff de 1905 caso em mente eu ditou a seguinte nota antes de abrir o abdômen: “a aparência negra azulada do umbigo nãoassociado com qualquer história de lesão, juntamente com a massa à direita do útero, faz o diagnóstico de gravidez extrauterina relativamente certo.”</p> </p> <p> I gravar este caso, a fim de que as gravidezes subsequentes rupturas extra-uterinas possam ser examinadas para este sinal., Não posso dizer que venha a revelar-se de ocorrência comum ou muito rara, mas, naturalmente, só a esperaremos quando houver sangue livre no abdómen e provavelmente será mais provável que o encontremos em indivíduos magros.</p> <p> Cullen TS 1919 </p></blockquote> <p></p> <div> <figure><img loading="lazy" width="408" height="374" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20408%20374'%3E%3C/svg%3E"><figcaption>descoloração Azulada do umbigo como um diagnóstico sinal quando a ruptura de gravidez extra-uterina existe.,<br />Cullen 1919: 420-422</figcaption></figure> </div> <h5>contexto Clínico</h5> <ul> <li>Apesar da descrição original, a maioria da literatura se relaciona Cullen sinal de periumbilical equimoses a pancreatite aguda (sendo gravado em 1-3% dos casos), ao invés de incluir secundária a uma gravidez ectópica.,<br /> <tr> <td>Ischemic and gangrenous bowel</td> <td>Kelley ML 1961</td> </tr> <tr> <td>Rectus sheath hematoma</td> <td>Guthrie, Stanley 1996</td> </tr> <tr> <td>Perforated duodenal ulcer</td> <td>Evans DM 1971</td> </tr> <tr> <td>Splenic rupture</td> <td>Chung et al 1992</td> </tr> <tr> <td>Percutaneous liver biopsy</td> <td>Capron et al 1977</td> </tr> <tr> <td>Acute Pancreatitis</td> <td>Bosmann et al 2009</td> </tr> <tr> <td>Ruptured abdominal aortic aneurysm</td> <td>Armour et al 1978</td> </tr> <ul> <li>Epperla N, Mazza JJ, Yale SH., Uma revisão dos sinais clínicos relacionados com equimose. WMJ. 2015; 114(2): 61-65., <ul> <li> John Henry Bryant e Bryant sinal (1903)</li> <li> Stephen Thomas Cullen e o sinal de Cullen (1918)</li> <li> George Grey Turner e Cinza Turner sinal (1919)</li> <li> Francis Edward Stabler e Stabler Sinal (1934)</li> <li> John Adrian Fox e Fox sinal (1966)</li> </ul> <div style="color:#ddd"></div> <h5>nomes Alternativos</h5> <ul> <li>Cullen login</li> <li>Peri-umbilical equimoses</li> </ul> <div style="color:#ddd"></div> <h5>Controvérsias</h5> <ul> <li>A localização topográfica das equimoses de Grey Turner e Cullen não apontam para a etiologia com qualquer grau de certeza.,o sinal Cullen carece de sensibilidade e especificidade para a sua descrição original. Ele tem sido descrito na pancreatite aguda, músculo reto abdominal hematoma, baço, ruptura, úlcera perfurada, intra-abdominal, câncer, gravidez ectópica, e como uma complicação de anticoagulação </li> </ul> <div style="color:#ddd"></div> <ul> <li>Ransohoff J. Gangrena da vesícula biliar: a Ruptura do ducto biliar comum, com o novo sinal. Transactions of the Southern Surgical and Ginecological Association 1905; 18: 48-68 </li> <li>Ransohoff J., Gangrena da vesícula biliar: ruptura do ducto biliar comum, com novo sinal. JAMA 1906; 46 (6): 395-397.Cullen TS. Um novo sinal de ruptura da gravidez extra-uterina. American journal of obstetrics and diseases of women and children. 1918; 78: 457 </li> <li>Cullen TS. Descoloração azulada do umbigo como um sinal de diagnóstico quando existe uma ruptura da gravidez extrauterina. In: Contributions to Medical and Biological Research. 1919; 1: 420-422 </li> <li>Chung KM, Chuang SS. O Cullen e a Grey Turner têm sinais de hemorragia perirenal idiopática. CMAJ., 2011 Nov 8; 183(16):E1221</li> <li>Harris S, Naina HV. O sinal do Cullen foi revisitado. Am J Med. 2008; 121(8): 682-683.Rahbour G, Ullah MR, Yassin N, Thomas GP. O relatório do Cullen com uma revisão da literatura. Int J Surg Case Rep. 2012; 3(5): 143-146.Cadogan M. equimose Abdominal atraumática., LITFL 2020</li> </ul> <div style="color:#ddd"></div> <div style="text-align:center"> <div><img src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%200%200'%3E%3C/svg%3E"></div> <div> <h2>eponymictionary</h2> <div style="color:#32373c"> <p>the names behind the name</p> </div></div> </p></div> <div></div> <div style="width: 100%; margin: 10px auto;"> <div style="border-color: #e1e5ea; background-color: #ffffff;"> <div> <div></div> <div> <div> <div> <div style="color: inherit"> <p>Dr David Hudson MBBS, BSc (Health Science). General Surgical trainee with a passion for research and education.,</p> </div> </div></div> </p></div> <div></div> </p></div> </div> </div> <div></div> <div style="width: 100%; margin: 10px auto;"> <div style="border-color: #e1e5ea; background-color: #ffffff;"> <div> <div></div> <div> <div> <div> <div style="color: inherit"> <p>Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM with a passion for rugby; medical history; medical education; and informatics. Asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | vocortex |</p> </div> </div></div> </p></div> <div></div> </p></div> </div> </div> </li> </ul> </li> </ul> <p></p> </div> <div class="post-footer"> <div class="post-share-wrap"> <div class="post-share">  <a target="_blank" href="https://www.facebook.com/sharer/sharer.php?u=https://imagexinnovation.com/pt/sinal-cullen/"><i class="fab fa-facebook-f"></i></a> <a title="Click to share this post on Twitter" href="https://twitter.com/intent/tweet?text=Currently%20reading%20sinal%20Cullen&url=https://imagexinnovation.com/pt/sinal-cullen/" target="_blank" rel="noopener noreferrer"> <i class="fab fa-twitter"></i> </a> <a target="_blank" href="https://pinterest.com/pin/create/button/?url=https://imagexinnovation.com/pt/sinal-cullen/&media=&description=sinal%20Cullen"><i class="fab fa-pinterest"></i></a> <a target="_blank" 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