Grey Turner's sign

Flank ecchymosis indicating tracking of blood through tissue planes from internal hemorrhage, often reflecting retroperitoneal or intra-abdominal bleeding.

Causes

• Retroperitoneal hemorrhage

  • Severe acute pancreatitis

  • Ruptured abdominal aortic aneurysm

  • Spontaneous retroperitoneal bleeding

  • Ruptured spleen

  • Renal/adrenal hemorrhage

  • Vascular injury

  • Coagulopathy: Anticoagulant therapy, bleeding disorders

• Ruptured ectopic pregnancy