Een man met spontane ecchymosen in beide flanken

This case concerns a 66-year old man with lower abdominal and groin pain and bilateral spontaneous flank ecchymoses, based on a spontaneous bilateral iliopsoas hematoma. This case illustrates that, although uncommon, an iliopsoas hematoma can be the cause of a Grey Turner sign, indicating a retroperitoneal haemorrhage.

Conflict of interest and financial support: none declared.