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072 Torsional Contortion

Situation

Amylase was 700 but diagnosis was ovarian torsion.

Background

A woman presented with pelvic pain with amylase 700, CT showed ovarian torsion not pancreatitis.

Assessment

The rise in amylase was caused by a non-pancreatic abdominal pathology, in this case ovarian torsion.

Recommendation

Remember: to diagnose acute pancreatitis you need 2 of the the following 3:

Typical history.

Elevated serum amylase or lipase (>3 ULN).

Imaging (CT, MRI or ultrasound) consistent with acute pancreatitis.

Source: PA Luke Foster

PLEASE DO NOT INCLUDE ANY PATIENT IDENTIFIABLE DATA OR GEO-LOCATION DATA IN THE SUBMISSION OR IN ANY ATTACHED IMAGES

Emergency Cases Northwest Group


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