Last updated: Friday, 24, December, 2010
|Key Information||Appropriate Tests|
Lipase and/or amylase - plasma or serum.
Serum amylase is less sensitive and is only transiently increased.
High levels of lipase and amylase can occur in other causes of an 'acute abdomen'.
Amylase - urine occasionally useful if clinical suspicion is high and levels of serum lipase and amylase are normal.
See under Hyperlipidaemia
Serological investigation is of no clinical value.
Repeat serum lipase or amylase if a local pancreatic complication is suspected.
Blood culture if patient is febrile.
Pus - microscopy and culture from operative site if surgical intervention (eg, drainage) is required.