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 - 1993
Externally publishedYes

Fingerprint

Pelvic Inflammatory Disease
Amylases
Serum
Research Personnel
Abdominal Pain
Reference Values

Keywords

  • Pelvic inflammatory disease
  • salpingitis
  • serum amylase

ASJC Scopus subject areas

  • Emergency Medicine

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

The role of serum amylase in the diagnosis of acute pelvic inflammatory disease. / Counselman, Francis L.; Elder, Donna M.; Brandecker, J. Gary; Silverman, Michael A.; Entwistle, Celia B.; Hubbard, Margaret M.; Weiseman, Jane Stansel.

In: American Journal of Emergency Medicine, Vol. 11, No. 5, 1993, p. 453-455.

Research output: Contribution to journalArticle

Counselman, FL, Elder, DM, Brandecker, JG, Silverman, MA, Entwistle, CB, Hubbard, MM & Weiseman, JS 1993, 'The role of serum amylase in the diagnosis of acute pelvic inflammatory disease', American Journal of Emergency Medicine, vol. 11, no. 5, pp. 453-455. https://doi.org/10.1016/0735-6757(93)90081-L
Counselman FL, Elder DM, Brandecker JG, Silverman MA, Entwistle CB, Hubbard MM et al. The role of serum amylase in the diagnosis of acute pelvic inflammatory disease. American Journal of Emergency Medicine. 1993;11(5):453-455. https://doi.org/10.1016/0735-6757(93)90081-L
Counselman, Francis L. ; Elder, Donna M. ; Brandecker, J. Gary ; Silverman, Michael A. ; Entwistle, Celia B. ; Hubbard, Margaret M. ; Weiseman, Jane Stansel. / The role of serum amylase in the diagnosis of acute pelvic inflammatory disease. In: American Journal of Emergency Medicine. 1993 ; Vol. 11, No. 5. pp. 453-455.
@article{a72f57a26a384f30a29a21831b11734f,
title = "The role of serum amylase in the diagnosis of acute pelvic inflammatory disease",
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.",
keywords = "Pelvic inflammatory disease, salpingitis, serum amylase",
author = "Counselman, {Francis L.} and Elder, {Donna M.} and Brandecker, {J. Gary} and Silverman, {Michael A.} and Entwistle, {Celia B.} and Hubbard, {Margaret M.} and Weiseman, {Jane Stansel}",
year = "1993",
doi = "10.1016/0735-6757(93)90081-L",
language = "English (US)",
volume = "11",
pages = "453--455",
journal = "American Journal of Emergency Medicine",
issn = "0735-6757",
publisher = "W.B. Saunders Ltd",
number = "5",

}

TY - JOUR

T1 - The role of serum amylase in the diagnosis of acute pelvic inflammatory disease

AU - Counselman, Francis L.

AU - Elder, Donna M.

AU - Brandecker, J. Gary

AU - Silverman, Michael A.

AU - Entwistle, Celia B.

AU - Hubbard, Margaret M.

AU - Weiseman, Jane Stansel

PY - 1993

Y1 - 1993

N2 - 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.

AB - 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.

KW - Pelvic inflammatory disease

KW - salpingitis

KW - serum amylase

UR - http://www.scopus.com/inward/record.url?scp=0027178586&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027178586&partnerID=8YFLogxK

U2 - 10.1016/0735-6757(93)90081-L

DO - 10.1016/0735-6757(93)90081-L

M3 - Article

C2 - 7689845

AN - SCOPUS:0027178586

VL - 11

SP - 453

EP - 455

JO - American Journal of Emergency Medicine

JF - American Journal of Emergency Medicine

SN - 0735-6757

IS - 5

ER -