What is flank ecchymosis?
Definition/Introduction. Grey Turner’s sign is an uncommon subcutaneous manifestation of intra-abdominal pathology that manifests as ecchymosis or discoloration of the flanks.  Classically it correlates with severe acute necrotizing pancreatitis, often in association with Cullen’s sign (periumbilical ecchymosis).
How does pancreatitis cause Cullens sign?
Cullen’s sign and Grey Turner’s signs, described as ecchymosis about periumbilical area and in one or both flanks respectively, represent the extravasation of hemorrhagic pancreatic exudate to these areas. They occur in < 1% of individuals with acute pancreatitis and are associated with high mortality.
How does GREY Turner sign occur?
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, and is a sign of retroperitoneal hemorrhage, or bleeding behind the peritoneum, which is a lining of the abdominal cavity.
What is Periumbilical ecchymosis?
Cullen’s sign is described as superficial oedema with bruising in the subcutaneous fatty tissue around the peri-umbilical region. This is also known as peri-umbilical ecchymosis. It is most often recognised as a result of haemorrhagic pancreatitis.
What is Cullen syndrome?
Cullen sign is a hemorrhagic discoloration of the umbilical area due to intraperitoneal hemorrhage from any cause; one of the more frequent causes is acute hemorrhagic panniculitis. Grey Turner sign is a discoloration of the left flank associated with acute hemorrhagic pancreatitis.
What is the Cullen’s sign?
What is Cullen’s and Turner’s sign?
What is Cullen’s sign?
What condition causes ecchymosis on the Periumbilical region?
What could skin discolouration or bruising to the abdomen indicate?
Bruising Or Discoloration, Distended Stomach, Pain Or Discomfort And Tenderness To Touch. Bruising/discoloration, distended stomach, pain, and tenderness can be seen in acute pancreatitis or a retroparitoneal bleed. Another possibility is diabetes with frequent abdominal insulin shots.
What are Cullen and GREY Turner signs?
Bluish to purplish periumbilical discoloration (Cullen sign) and flank discoloration (Grey Turner sign) represent retroperitoneal hemorrhage that has dissected through fascial planes to the skin. Retroperitoneal blood may also extravasate into the perineum, causing a scrotal hematoma or inguinal mass.
When do you see Cullen’s sign?
Cullen sign, first described in 1918, is superficial bruising in the subcutaneous fat around the umbilicus. It has been described in acute pancreatitis, rectus sheath hematoma, splenic rupture, perforated ulcer, intra-abdominal cancer, and ruptured ectopic pregnancy, and as a complication of anticoagulation.
What is the Cullen sign, periumbilical ecchymosis?
The Cullen sign, periumbilical… Not registered yet? forgot password? a mortality of 37 percent. Although most commonly signs is specific to this condition. tissue covering of the round ligament.
What causes ecchymosis around the umbilicus during pregnancy?
The following are the causes of ecchymosis around the umbilicus : Liver cirrhosis with portal hypertension. Hemorrhaging ascites. Percutaneous liver biopsy. Hepatocellular carcinoma. Strangulated umbilical hernia. Acute pancreatitis. Intrauterine pregnancy with bilateral acute salpingitis.
What are the symptoms of ecchymosis on the flank?
The blood seeps through the abdominal wall and into the subcutaneous tissue, hence the ecchymosis on the flank. In the presence of Grey Turner sign, mortality rate is 40% . Crescent Sign: Unilateral or bilateral ecchymosis of the malleoli due to synovial rupture secondary to knee hemarthrosis.
What does ecchymosis of the abdominal wall mean?
Ecchymosis of the abdominal wall is an important sign of retroperitoneal or intraperitoneal hemorrhage.