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Case Report

A Typical Presentation of Grey Turner’s Sign in Acute Necrotizing Pancreatitis

Gupta Ayush* , Gupta Ayush* , Mohit Kaul* , Das Indranil** , Datta Kishalay***

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Indian Journal of Emergency Medicine 2(1):p 55-58, Jan-Jun 2016. | DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.2116.12

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Abstract

 Subcutaneous manifestations of acute pancreatitis have been mentioned in reference texts with Grey turner’s sign and Cullen’s sign being the most prominent amongst others like Fox’s sign and Walzel’s sign.Inspite of exhaustive reference of these signs many physicians have not seen the representative cases and at times are not able to appreciate them. Grey turners sign is produced by spread of liberated pancreatic enzymes from the anterior para renal space between the two leaves of posterior renal fascia and subsequently to the lateral edge of quadratus lumborum. The prevalence of this sign has been mentioned as 3% in previous studies with mortality rate of 37% amongst patients with positive sign. The submitted case report highlights the typical presentation of acute pancreatitis manifesting Grey turner’s sign. The skin sign of acute pancreatitis are rare but if present they confer a poor prognosis, henceforth recognising such patients with severe acute pancreatitis as soon as possible is critical for achieving optimal outcomes. 

Keywords: Abdominal Pain; Acute Pancreatitis; Grey Turner’s Sign; Cullen’s Sign. 

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.2116.12

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