Ballance's sign

System: Abdominal & Digestive Signs · All abdominal & digestive signs

What it is — and how it is elicited

Dullness to percussion in the left flank that stays fixed when the patient is rolled onto the right side, unlike the shifting dullness of free fluid.

What a positive finding suggests

Associated with a ruptured spleen with clotted blood around it.

◈ Behind the name

Sir Charles Alfred Ballance (1856–1936), British surgeon.

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Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.