Grey Turner's sign

Template:Infobox medical condition (new) Grey Turner's sign refers to bruising of the flanks, the part of the body between the last rib and the top of the hip. The bruising appears as a blue discoloration,<ref name=Cecil /> and is a sign of retroperitoneal hemorrhage, or bleeding behind the peritoneum, which is a lining of the abdominal cavity. Grey Turner's sign takes 24–48 hours to develop, and can predict a severe attack of acute pancreatitis.<ref name="pmid19332225">Template:Cite journal</ref>

Grey Turner's sign may be accompanied by Cullen's sign. Both signs may be indicative of pancreatic necrosis with retroperitoneal or intra-abdominal bleeding. Grey Turner's sign is named after British surgeon George Grey Turner.<ref name=Name />

Causes

Causes include

• Acute pancreatitis, whereby methemalbumin formed from digested blood tracks subcutaneously around the abdomen from the inflamed pancreas.
• Pancreatic hemorrhage<ref name=Cecil />
• Retroperitoneal hemorrhage<ref name=Cecil />
• Blunt abdominal trauma
• Ruptured / hemorrhagic ectopic pregnancy.
• Spontaneous bleeding secondary to coagulopathy (congenital or acquired)
• Aortic rupture, from ruptured abdominal aortic aneurysm or other causes.<ref name=Cecil>Template:Cite book</ref>

History

It is named after British surgeon George Grey Turner.<ref name=Name>Template:WhoNamedIt</ref><ref>Template:Cite journal</ref>