This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Cullen's sign is seen in: March 2013 
Select and explain. 
A. Acute cholecystitis, B. Acute pancreatitis, C. Acute hemorrhagic pancreatitis, D. Blunt injury abdomen
C: Acute hemorrhagic pancreatitis
Answer: C: Acute hemorrhagic pancreatitis 
Explanation: Ans. C i.e. Acute hemorrhagic pancreatitis Cullen's sign It is superficial edema and bruising in the subcutaneous fatty tissue around theumbilicus. It is named for Thomas S. Cullen (1869-1953), an obstetrician 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 moality 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.