Amylase Lipase in pancreatic trauma

Q: During trauma, pancreatic injury should quickly be ruled out by elevated amylase/lipase? (select one) 

A) True 
B) False

Answer: B

Serum amylase or lipase has no role in acute pancreatic injury in trauma. In fact, elevated amylase or lipase can be present in abdominal trauma even when the pancreas is not involved. Only reliable method is either via CT scan or exploratory laparotomy.

#trauma



References:

1. Takishima T, Sugimoto K, Hirata M, et al. Serum amylase level on admission in the diagnosis of blunt injury to the pancreas: its significance and limitations. Ann Surg 1997; 226:70. 

2. Buechter KJ, Arnold M, Steele B, et al. The use of serum amylase and lipase in evaluating and managing blunt abdominal trauma. Am Surg 1990; 56:204.