Grey Turner's sign
| Grey Turner's sign | |
|---|---|
 | |
| Grey Turner's sign | |
| Differential diagnosis | Acute pancreatitis, ectopic pregnancy |
Grey Turner's signrefers tobruisingof theflanks,the part of the body between the last rib and the top of the hip. The bruising appears as a blue discoloration,[1]and is a sign ofretroperitoneal 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 ofacute pancreatitis.[2]
Grey Turner's sign may be accompanied byCullen's sign.Both signs may be indicative of pancreatic necrosis with retroperitoneal or intra-abdominal bleeding. Grey Turner's sign is named after BritishsurgeonGeorge Grey Turner.[3]
Causes
[edit]Causes include
- Acute pancreatitis,wherebymethemalbuminformed from digested blood trackssubcutaneouslyaround the abdomen from the inflamed pancreas.
- Pancreatic hemorrhage[1]
- Retroperitoneal hemorrhage[1]
- Blunt abdominaltrauma
- Ruptured / hemorrhagicectopic pregnancy.
- Spontaneous bleeding secondary to coagulopathy (congenital or acquired)
- Aortic rupture,from rupturedabdominal aortic aneurysmor other causes.[1]
History
[edit]It is named after BritishsurgeonGeorge Grey Turner.[3][4]
References
[edit]- ^abcdGoldman, Lee (2012).Goldman's Cecil Medicine(24th ed.). Philadelphia: Elsevier Saunders. p. 837.ISBN978-1437727883.
- ^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.PMID19332225.
- ^absynd/3347atWho Named It?
- ^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.S2CID72710780.