Grey-Turner's sign in sclerosing peritonitis.
A 41-year-old CAPD patient developed Grey-Turner's sign during the course of bacterial peritonitis due to Pseudomonas aeruginosa. At the same time a diagnosis of sclerosing peritonitis was made by CT-scanning of the abdomen. We think that Grey-Turner's flank staining could either have been caused by synthesis of proteases by the Pseudomonas bacteria or by reduced mesenteric flexibility and increased vascularization of the peritoneum due to the sclerosing peritonitis. This could have led to spontaneous mesenteric bleeding with leakage to the retroperitoneal tissues. A possible relationship with an ascites puncture is less likely.
Stouthard
J M
JM
Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Krediet
R T
RT
Arisz
L
L
D000005:Abdomen; D000328:Adult; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D012598:Sclerosis; D012880:Skin Pigmentation; D014057:Tomography, X-Ray Computed