Grey Turner Sign and Fox Sign
GREY TURNER’S SIGN
Patients diagnosed with acute pancreatitis may present Grey Turner’s sign. Grey Turner’s sign is indicative of the presence of extravasated pancreatic enzymes from the anterior pararenal space to the space between the two leaves of the posterior renal fascia and lateral edge of quadratus lumborum. There is a communication between the posterior pararenal space and to the weak wall at the flank called the lumbar triangle of Petit, where cutaneous discoloration will be evident.
FOX’S SIGN
Patients diagnosed with acute pancreatitis may present Fox’s Sign. Hemorrhage at the peritoneum may cause bluish discolorations below the inguinal ligament or at the base of the penis. This sign signals acute hemorrhagic pancreatitis with a mortalit y of up to 30%.
RESOURCES:
Meyers, MA, MA Feldberg, M Oliphrant. (1989). Grey Turner’s Sign and Cullen’s Sign in Acute Pancreatitis. Gastrointestinal Radiology. 14(1):31-7.
Alturi, P, et. al. (2006). The Surgical Review: An Integrated Basic and Clinical Science Study Guide. 2nd ed. USA: Lippincott Williams &Wilkins. pp 496-487
Patients diagnosed with acute pancreatitis may present Grey Turner’s sign. Grey Turner’s sign is indicative of the presence of extravasated pancreatic enzymes from the anterior pararenal space to the space between the two leaves of the posterior renal fascia and lateral edge of quadratus lumborum. There is a communication between the posterior pararenal space and to the weak wall at the flank called the lumbar triangle of Petit, where cutaneous discoloration will be evident.
FOX’S SIGN
Patients diagnosed with acute pancreatitis may present Fox’s Sign. Hemorrhage at the peritoneum may cause bluish discolorations below the inguinal ligament or at the base of the penis. This sign signals acute hemorrhagic pancreatitis with a mortalit y of up to 30%.
RESOURCES:
Meyers, MA, MA Feldberg, M Oliphrant. (1989). Grey Turner’s Sign and Cullen’s Sign in Acute Pancreatitis. Gastrointestinal Radiology. 14(1):31-7.
Alturi, P, et. al. (2006). The Surgical Review: An Integrated Basic and Clinical Science Study Guide. 2nd ed. USA: Lippincott Williams &Wilkins. pp 496-487