Grey Turner's sign
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Grey Turner's sign refers to bruising of the flanks, appearing as a blue discoloration.[1]
This sign takes 24–48 hours. It can predict a severe attack of acute pancreatitis,[2] with mortality rising from 8-10% to 40%. It is a sign of retroperitoneal hemorrhage.
It may be accompanied by Cullen's sign, which may then be indicative of pancreatic necrosis with retroperitoneal or intraabdominal bleeding.
It is named after British surgeon George Grey Turner.[3][4]
Causes
- Acute pancreatitis, whereby methemalbumin formed from digested blood tracks subcutaneously around the abdomen from the inflamed pancreas.
- Pancreatic hemorrhage[1]
- Retroperitoneal hemorrhage[1]
- Blunt abdominal trauma
- Ruptured abdominal aortic aneurysm[1]
- Ruptured / hemorrhagic ectopic pregnancy
- Spontaneous bleeding secondary to coagulopathy (congenital or acquired)
References
- ↑ 1.0 1.1 1.2 1.3 Goldman, Lee. Goldman's Cecil Medicine (24th ed. ed.). Philadelphia: Elsevier Saunders. p. 837. ISBN 1437727883.
- ↑ 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:10.1016/j.amjmed.2008.08.032. PMID 19332225.
- ↑ Template:WhoNamedIt
- ↑ Turner, G. Grey (1919). "Local discoloration of the abdominal wall as a sign of acute pancreatitis". British Journal of Surgery. 7 (27): 394–395. doi:10.1002/bjs.1800072711.
Template:Eponymous medical signs for digestive system and general abdominal signs