Brown Semen: Think of Necrotizing Pancreatitis!

Abstract

Cullen's sign of pancreatitis is superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. The sign takes 24–48 hours to appear and can predict increased mortality. In more severe cases, it may be accompanied by Grey Turner's sign (bruising of the flank) indicative of pancreatic necrosis with retroperitoneal or intraabdominal bleeding. Our case have an interesting presentation from which we can learn a new sign.