Case: If we look at the patient’s abdomen and we found ecchymosis and edema in the periumbilical region and ecchymosis in the lumbar region

? pancreatitis where there is hemorrhage with necrosis of the pancreas that extend to the retroperitoneal area at the flank region (giving Grey Turner sign) and to the abdomen at the greater omentum (it also give ecchymosis). Note: Ecchymosis = mthl wa7ad mekil darbe wbyazra2 jismo. - Ecchymosis in the periumbilical region called Cullen sign. - Ecchymosis in the lumbar region called Grey Turner sign.