The Serum Amylase in Blunt Abdominal Trauma

Pancreatic Trauma in the Adult: Current Knowledge in Diagnosis and Management

“…In a collective review of the literature, Bradley et al [2] found elevated serum amylase levels in 82% of patients with blunt injury, while others report an elevation in amylase levels in only 8-23% of the patients with penetrating injury [35,37]. These findings are in accordance with those reported by Olsen [40], who found that 70% of patients with penetrating and 30% of patients with blunt pancreatic trauma had normal amylase levels on admission. Moreover, elevations in serum amylase levels have been reported in clinically asymptomatic patients after abdominal trauma [41].…”

Case Report on Two Large Duodenal Perforations and Their Management in Emergency Conditions

“…The serum level of amylase is considered as an indicator of duodenal injury, but has low sensitivity and specificity [6]. However the serum amylase level can be used as predictive value in admitted patients for observation.…”

“…The usual sites for duodenal injury are the second part (36%), the third part (18%) and the fourth part (15%). The least injured part is first part [6]. The most useful investigation for diagnosis of duodenal trauma is a CT scan.…”

Pancreatic transection from blunt trauma associated with vascular and biliary lesions: A case report

“…The limits of this examination in defining the presence and gravity of pancreas trauma are well known. It was reported that the sensitivity of pancreatic rupture is 42.9% [6,10,11] and its low accuracy is particularly critical in defining the damage of the main pancreatic duct, the single most important factor both for surgical indication and choice of the best surgical strategy [12][13][14] . In our case, CT allowed to exclude thoracic lesions and to focus on the pancreatic region, demonstrating the pancreatic body fracture and the presence of associated vascular damage.…”