Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jul 14, 2012.
What is your medical diagnosis for this case ?
Add your diagnosis as a comment below
Based on the Cullen's sign and the distended abdomen, I suspect internal hemorrhaging; in this case, maybe because of a ruptured ectopic pregnancy or trauma.
This case may be Massive Ascites due to Cirrhosis.
ascite in cirrotica
may be ovarian malignancy like germinoma with ascites..??
the Cullen's sign is obvious, the distention is extreme though, so that points to ascites (vs. hemorrhaging), most likely due to cirrhosis.
Yes, the distention is extreme; it cannot be from a bleed alone (if she's still alive, that is). The Cullen's sign proves there has to be a bleed, but either she has two unrelated conditions (e.g. condition A (resulting in ascites) and B (causing hemorrhaging)) or I don't know a condtion that is likely to cause both.
agree, I vote for a combination of different conditions as well
Answer : Big Stomach Syndrome
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