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Abdominal pain and a raised amylase? It's not always pancreatitis.

Oluwatowoju, I.O.; Abu, O.E.; Lawson, G.

Acute Medicine 12(3): 163-165

2013

ISSN/ISBN: 1747-4892
PMID: 24098876
Document Number: 10679
We report the case of a 72 year old man with a history of COPD and heavy alcohol consumption who was initially diagnosed with acute pancreatitis based on a presentation with epigastric pain and elevated serum amylase. Review of his notes revealed several previous similar admissions and extensive normal investigations apart from persistently elevated amylase. Further analysis showed evidence of macroamylasaemia which accounted for the apparently high serum amylase level.

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Abdominal pain and a raised amylase? It's not always pancreatitis.

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