Abdominal pain and hyperamylasaemia--not always pancreatitis
| Autor: | Ianthe Abbey, Dominic Smith, Sally Slack |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Adolescent Hydrocortisone Risk Assessment Gastroenterology Article Diagnosis Differential Internal medicine Intensive care medicine Humans Amylase Hyperamylasemia Salivary gland biology business.industry General Medicine medicine.disease Combined Modality Therapy Shock Septic Abdominal Pain Anti-Bacterial Agents Surgery Intensive Care Units Treatment Outcome medicine.anatomical_structure Pancreatitis Amylases biology.protein Acute pancreatitis Drug Therapy Combination Female Hemofiltration Differential diagnosis medicine.symptom business Biomarkers Follow-Up Studies |
| Zdroj: | Case Reports. 2010:bcr0220102747-bcr0220102747 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr.02.2010.2747 |
| Popis: | A raised serum amylase concentration, at least four times the upper limit of normal (ULN), is used to support the diagnosis of acute pancreatitis in a patient presenting with abdominal pain. The authors report a case of toxic shock syndrome complicated by a raised serum amylase concentration that peaked at 50 times the ULN in a patient with recurrent abdominal pain. The commonest cause of hyperamylasaemia is pancreatic; however, further investigation of serum lipase and amylase isoenzyme studies found this to be of salivary origin and attributable to soft tissue inflammation of the salivary gland. This case highlights the need to consider non-pancreatic causes of hyperamylasaemia. |
| Databáze: | OpenAIRE |
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