Ann Surg Treat Res.  2017 Aug;93(2):115-117. 10.4174/astr.2017.93.2.115.

Grey Turner's and Cullen's signs induced by spontaneous hemorrhage of the abdominal wall after coughing

• Fan Z
• Zhang Y

• KMID: 2387343
• DOI: http://doi.org/10.4174/astr.2017.93.2.115

Abstract

Grey Turner's and Cullen's signs are rare clinical signs, which most appear in patients with severe acute pancreatitis. The present patient complained of abdominal pain after coughing. However, contrast-enhanced CT revealed a hemorrhage of the abdominal wall. Therefore, spontaneous hemorrhage of the abdominal wall was diagnosed. The patient recovered through immobilization and hemostasis therapy. This case report and literature review aims to remind clinicians of manifestations and treatment of spontaneous hemorrhage.

Keyword

Grey Turner's sign; Cullen's sign; Spontaneous hemorrhage

MeSH Terms

Abdominal Pain
Abdominal Wall*
Cough*
Hemorrhage*
Hemostasis
Humans
Immobilization
Pancreatitis
Tomography, X-Ray Computed

Figure

• 

  Fig. 1 Bilateral Grey Turner's sign.

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  Fig. 2 Cullen's sign around navel.

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  Fig. 3 Contrast-enhanced CT of the abdomen showing a huge hematoma in the right lateral abdominal wall.

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