A rare entity in ED: Normal lipase level in acute pancreatitis

Onder Limon; Erkan Sahin; Funda Ugur Kantar; Deniz Oray; Asli Aydinoglu Ugurhan

doi:10.1016/j.tjem.2014.09.001

Onder Limon¹, Erkan Sahin², Funda Ugur Kantar³, Deniz Oray¹, Asli Aydinoglu Ugurhan¹

¹Department of Emergency Medicine, Izmir University Faculty of Medicine, Izmir, Turkey
²Department of Radiology, Izmir University Faculty of Medicine, Izmir, Turkey
³Department of Gastoenterology, Izmir University Faculty of Medicine, Izmir, Turkey

Keywords: Abdominal pain; Acute pancreatitis; Lipase

Abstract

Acute pancreatitis can have a variable presentation and diagnosis is based on clinical presentation, serum amylase and lipase levels and computed tomography. Negative predictive value of serum lipase in diagnosing acute pancreatitis is approximately to 100 percent and a normal blood lipase level in acute pancreatitis is an extremely rare condition. Here we reported two cases with normal serum amylase and lipase levels.