Sacrococcygeal Teratoma Presenting as Perineal and Periumbilical Discoloration (Cullen Sign)
A 15-month-old Caucasian boy had a several-month history of perineal and scrotal bruising. The bruised area was sharply demarcated, occurring to the left without crossing the midline (Figure 1). It was indurated, but non-tender. Similar bruising developed later in the periumbilical region (Cullen sign).
Figure 1
Left-sided perineal bruising.
PII: S0022-3476(10)00680-3
doi:10.1016/j.jpeds.2010.08.011
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