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Differential diagnosis

Authoring team

Differential diagnosis

The differential diagnosis of acute pancreatitis includes:

  • acute myocardial infarction
  • cholangitis
  • cholecystitis
  • diabetic ketoacidosis
  • gastric outlet obstruction
  • intestinal infarction
  • pancreatic cancer
  • perforated peptic ulcer

Other causes of raised serum amylase are:

  • renal failure
  • macro-amylasaemia
  • diseases of the salivary glands
  • extra-pancreatic abdominal diseases associated with inflammation
    • e.g. - acute appendicitis, cholecystitis, intestinal obstruction or ischemia, peptic ulcer, and gynaecological diseases

Reference:

  1. Mederos MA, Reber HA, Girgis MD. Acute Pancreatitis: A Review. JAMA. 2021 Jan 26;325(4):382-90.

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