Brownish-blue spots (ecchymoses) around the umbilicus are known as Cullen’s sign and are considered to indicate an unfavorable prognosis in acute pancreatitis. They arise by the spread of ...

The appearance of the periumbilical area is shown in the photograph; this is called Cullen’s sign and it is indicative of severe pancreatitis. It is due to periumbilical edema with hemorrhage ...