The role of serum amylase in the diagnosis of acute pelvic inflammatory disease

Francis L. Counselman, Donna M. Elder, J. Gary Brandecker, Michael A. Silverman, Celia B. Entwistle, Margaret M. Hubbard, Jane Stansel Weiseman

Research output: Contribution to journalArticle

Abstract

The use of serum amylase levels in the diagnosis of acute pelvic inflammatory disease (PID) was investigated prospectively. Eighty-five women presenting with the chief complaint of lower abdominal pain were entered into the study; all patients were examined by one of the principal investigators. In addition to the usual laboratory studies, a serum amylase level was obtained on all patients; the investigators were blinded to the results. Patients were diagnosed with PID if they fulfilled previously published clinical criteria. Forty-eight patients met the criteria for the diagnosis of PID (PID group); 37patients were diagnosed with other disease processes (non-PID group). The average serum amylase level for the PID group was 62 U/L, with a standard deviation (STD) of 24; for the non-PID group, the average was 76 U/L with an STD of 32. Although there was a statistical difference between the two groups (P < .05), there was no clinically significant difference because both values fell within the normal range of serum amylase. The routine use of serum amylase in the diagnosis of acute PID seems to be of no value.

Original languageEnglish (US)
Pages (from-to)453-455
Number of pages3
JournalAmerican Journal of Emergency Medicine
Volume11
Issue number5
DOIs
StatePublished - Sep 1993

Keywords

  • Pelvic inflammatory disease
  • salpingitis
  • serum amylase

ASJC Scopus subject areas

  • Emergency Medicine

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  • Cite this

    Counselman, F. L., Elder, D. M., Brandecker, J. G., Silverman, M. A., Entwistle, C. B., Hubbard, M. M., & Weiseman, J. S. (1993). The role of serum amylase in the diagnosis of acute pelvic inflammatory disease. American Journal of Emergency Medicine, 11(5), 453-455. https://doi.org/10.1016/0735-6757(93)90081-L