Acute pancreatitis with normal serum lipase: a case series.
نویسندگان
چکیده
CONTEXT Acute pancreatitis is diagnosed on the basis of clinical features, biochemical tests and imaging studies. Normal serum amylase level has been reported in the setting of acute pancreatitis but normal serum lipase level in acute pancreatitis is extremely rare. CASE REPORT Herein, we present a case series of acute pancreatitis with normal serum lipase levels along with a review of the topic. CONCLUSION In appropriate clinical setting, the diagnosis of acute pancreatitis should be entertained even with normal serum amylase and lipase levels.
منابع مشابه
Acute Pancreatitis: An Atypical Presentation
Acute pancreatitis is an important cause of acute upper abdominal pain. Because its clinical features are similar to a number of other acute illnesses, it is difficult to make a diagnosis only on the basis of symptoms and signs. The diagnosis of acute pancreatitis is based on 2 of the following 3 criteria: (1) abdominal pain consistent with pancreatitis, (2) serum lipase and/or amylase ≥3 times...
متن کاملPersistence of increased amylase and lipase concentrations in acute pancreatitis.
We question the variations in serum concentrations of lipase and amylase during acute pancreatitis reported by Loft and Lu (1). In the caption for their Figure 3, the authors stated that the graphs of the two enzymes in a patient with acute pancreatitis demonstrated “characteristic changes with time.” Serum concentrations of both enzymes peaked on the fourth day after onset and still had not de...
متن کاملAcute pancreatitis due to malaria: A case report of five patients and review of literature
Malaria is endemic in large parts of India and can cause multiorgan failure and death. Acute pancreatitis as a complication is rare and is potentially fatal. This case series describes five adult patients between 2005 and 2010 who presented with a short duration febrile illness and diagnosed to have malaria with acute pancreatitis. The mean age of the five patients with acute pancreatitis was 4...
متن کاملSignificantly Elevated Serum Lipase in Pregnancy with Nausea and Vomiting: Acute Pancreatitis or Hyperemesis Gravidarum?
Hyperemesis gravidarum is a severe manifestation of nausea and vomiting of pregnancy and it is associated with weight loss and metabolic abnormalities. It is known that abnormal laboratory values, including mildly elevated serum lipase level, could be associated with hyperemesis gravidarum. However, in this case report details of two women with hyperemesis gravidarum but with significantly elev...
متن کاملگزارش یک مورد پانکراتیت حاد در لپتوسپیروز شدید (گزارش مورد)
Leptospirosis is a Zoonotic disease that rarely manifests in a severe manner, (Weil's syndrome). Regarding epidemiology of this disease, in some rural areas of Mazandaran Province we encountered a rare case of acute pancreatitis during progression of severe Leptosprosis is presented herein. Patient is a 50 year old male farmer who was admitted to the hospital due to experiencing 10 days of fe...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- JOP : Journal of the pancreas
دوره 11 4 شماره
صفحات -
تاریخ انتشار 2010