It has long been appreciated that Cullen's and Grey Turner's signs are both not specific for acute pancreatitis but can occur in a myriad of pathologic processes all involving intra- and retroabdominal hemorrhage. Indeed, reports in the literature also comprise cases of metastatic thyroid cancer,1 esophageal cancer,2 intra-abdominal non-Hodgkin's lymphoma,3 and amoebic liver abscess4 that are rarely associated with the occurrence of these body wall ecchymoses. This list also encompasses a variety...