Localized abdominal wall bile staining due to retroperitoneal bile leak.

Sir. Xanthoderma is any yellow to yellow-orange macular discolouration of the skin. Jaundice and earotenoderma are the primary differential diagnosis in patients with xanthoderma due to a high serum concentration of bilirubin. There are other less common causes of both generalized and localized xanthoderma. Jaundice is generalized skin pigmentation due to high serum concentration of bilirubin, but serum levels below 3 mg/dl may present as conjunctival icterus alone ( 1 ). We report here a case of localized yellow pigmentation in the loins, which clinically evoked Grey Turner's sign, a brownish to greenish colouration of the loins.