Grey Turner's sign refers to bruising of the flanks.
This sign takes 24–48 hours. It can predict a severe attack of acute pancreatitis,[1] with mortality rising from 8-10% to 40%.[citation needed]
It may be accompanied by Cullen's sign, which may then be indicative of pancreatic necrosis with retroperitoneal or intraabdominal bleeding.
It is named for British surgeon George Grey Turner.[2][3]
Causes
Causes include
- acute pancreatitis, whereby methaemalbumin formed from digested blood tracks subcutaneously around the abdomen from the inflamed pancreas
- blunt abdominal trauma
- ruptured abdominal aortic aneurysm.
- Ruptured/ hemorrhagic ectopic pregnancy.
- spontaneous bleeding secondary to coagulopathy (congenital or acquired)
References
- ^ Bosmann M, Schreiner O, Galle PR (April 2009). "Coexistence of Cullen's and Grey Turner's signs in acute pancreatitis". Am. J. Med. 122 (4): 333–4. doi:. PMID 19332225. http://linkinghub.elsevier.com/retrieve/pii/S0002-9343(08)01059-0.
- ^ synd/3347 at Who Named It?
- ^ G. G. Turner. Local discoloration of abdominal wall as a sign of acute pancreatitis. British Journal of Surgery, London, 1920, 7: 394-395.
External links
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