Hyperamylasaemia
The most common cause of hyperamylasaemia is acute pancreatitis in which serum amylase is usually elevated more than 4-fold.
Classification:
- congenital - congenital hyperamylasaemia
- acquired:
- infection e.g. mumps
- neoplasm e.g. pancreatic carcinoma
- vascular e.g. mesenteric ischaemia
- inflammatory e.g. acute pancreatitis, hepatitis, post-ERCP, peritonitis
- trauma e.g. burns, posterior perforating duodenal ulcer, intestinal obstruction or perforation
- drugs e.g. morphine and other opiates
- metabolic e.g. renal failure, renal transplant, diabetic ketoacidosis, macroamylasaemia
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