Year 2021,
Volume: 5 Issue: 5, 553 - 555, 01.05.2021
Rıfat Peksöz
,
Orham Asya
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7. Evcimik MF, Çakır BÖ, Cırık AA, Cevizci R, Soylu E, Günay C. The effect of parotid gland examination and massage on serum amylase levels in patients with acute parotitis. ENT Updates 2016;6(3):131-4.
A rare cause of hyperamylasemia: A case with pneumothorax and subcutaneous emphysema around the parotid gland in a trauma patient
Year 2021,
Volume: 5 Issue: 5, 553 - 555, 01.05.2021
Rıfat Peksöz
,
Orham Asya
Abstract
Amylase is a common laboratory test in emergency departments, especially in trauma patients. Although hyperamylasemia is mostly caused by injury to the pancreas in trauma patients, non-pancreatic causes of hyperamylasemia are not rare. Being aware of these causes may prevent unnecessary diagnostic tests. In this study, we presented a trauma patient with hyperamylasemia of non-pancreatic origin. Possible mechanisms of hyperamylasemia in our case are acute hypoxia-induced hyperamylasemia because of left lung pneumothorax and massage-like activity of subcutaneous emphysema around the parotid gland.
References
-
1. Vissers RJ, Abu-Laban RB, McHugh DF. Amylase and lipase in the emergency department evaluation of acute pancreatitis. The Journal of Emergency Medicine. 1999;17(6):1027-37.
-
2. Jam I, Shoham M, Wolf R, Mishkin S. Elevated Serum Amylase Activity in the Absence of Clinical Pancreatic or Salivary Gland Disease. American Journal of Gastroenterology. 1978;70(5).
-
3. Yalnız M, Asoğlu M, Demirel U, Aygün C, Bahçecioğlu İH. Hiperamilazemili bir vaka: Makroamilazemi? Literatürün gözden geçirilmesi. J Clin Exp Invest. 2011;2(1).
-
4. Kiriyama S, Gabata T, Takada T, Hirata K, Yoshida M, Mayumi T, et al. New diagnostic criteria of acute pancreatitis. Journal of Hepato-Biliary-Pancreatic Sciences. 2010;17(1):24-36.
-
5. Hart AR, Johnson G, Huggett MT. Progressing pancreaticobiliary medicine in the UK. Frontline Gastroenterology. 2019;10(3):206-7.
-
6. Li T. Hyperamylasemia in acute exacerbation of patients with chronic respiratory failure. Zhonghua Nei Ke Za Zhi. 1992;31(3):154-6, 88.
-
7. Evcimik MF, Çakır BÖ, Cırık AA, Cevizci R, Soylu E, Günay C. The effect of parotid gland examination and massage on serum amylase levels in patients with acute parotitis. ENT Updates 2016;6(3):131-4.