Gray Turner sign
The Gray Turner's sign (in English: Gray-Turner's sign ), as well as the Cullen's sign , a clinical sign of a serious acute pancreatitis . Bluish-greenish spots appear in the flank area. They arise from edematous impregnation of the subcutis and local bleeding from small vessels, also known as ecchymoses , which are triggered by autodigestion of blood vessels by pancreatic enzymes or by bleeding in the retroperitoneum.
The sign is named after the English surgeon George Gray Turner (1877–1951).
Original description
- GG Turner: Local discoloration of abdominal wall as a sign of acute pancreatitis. In: British Journal of Surgery . Vol. 7, No. 27, 1919, pp. 394-395, doi : 10.1002 / bjs.1800072711 .
literature
- Heiko Lübbers, Reiner Mahlke, Paul Georg Lankisch : Acute pancreatitis: what really matters in diagnostics and therapy. In: Medical Clinic. Vol. 102, No. 9, ISSN 0723-5003 , pp. 746-758, doi : 10.1007 / s00063-007-1093-5 .
- Alan P. Dickson, Clement W. Imrie: The incidence and prognosis of body wall ecchymosis in acute pancreatitis. In: Surgery, Gynecology & Obstetrics . Vol. 159, 1984, ISSN 0039-6087 , pp. 343-347.
- Murray Longmore, Ian Wilkinson, Edward Davidson, Alexander Foulkes, Ahmad Mafi: Oxford Handbook of Clinical Medicine. 8th. Edition. Oxford University Press, Oxford et al. 2010, ISBN 978-0-19-923217-8 , p. 638.
