Misdiagnosis of macroamylasemia in pregnancy as pancreatitis
Author:
Eser Ayla,Akgun Nilufer,Yuce Ebru,Kafali Hasan
Abstract
AbstractWhile elevated serum amylase in the presence of abdominal pain can be indicative of pancreatitis, differential diagnosis of macroamylasemia depends on additional assessment of serum lipase and urinary amylase. The present report concerns misdiagnosis of pancreatitis in a pregnant woman with elevated serum amylase but normal lipase.The patient was a nulligravid woman on her first pregnancy diagnosed with pancreatitis in her 32Normal serum lipase levels should be considered as a likely indication of an alternative cause of elevated serum amylase to pancreatitis, and urinary amylase should be routinely checked to assist in differential diagnosis to avoid unnecessary and invasive treatment and stress to pregnant women.
Publisher
Walter de Gruyter GmbH
Subject
Obstetrics and Gynaecology,Embryology,Pediatrics, Perinatology, and Child Health
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1. Ritodrine;Reactions Weekly;2015-10