An unusual cause of Grey Turner's sign. (15th May 2013)

• Record Type: Journal Article
• Authors: Gosling, Oliver Burton; Hunter, Alison Emma; Edwards, Gray Alexander Dyfan; Squires, Benjamin
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-05-15
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-008836
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A woman in her late 70s presented to the acute general surgical take with a 3-day history of worsening right leg pain and swelling. She had undergone right revision total hip arthroplasty 20 months previously and reported chronic postoperative right thigh pain attributed to a femoral deep venous thrombosis for which she had been warfarinised. On examination, Grey Turner's sign (bruising of the flanks indicating retroperitoneal haemorrhage) was present, as well as a large tender mass in the right iliac fossa and pitting oedema throughout the right lower limb. Urgent CT scan with intravenous contrast revealed a right retroperitoneal haematoma secondary to a right acetabular screw protruding into the right external iliac vein. The patient was successfully managed with warfarin reversal and surgical removal of the relevant acetabular screw. At 2-month follow-up, the patient's symptoms continue to resolve.