The role of serum amylase in the diagnosis of acute pelvic inflammatory disease.
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); 37 patients 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.
Counselman
F L
FL
Department of Emergency Medicine, Eastern Virginia Graduate School of Medicine, Norfolk 23507.
Elder
D M
DM
Brandecker
J G
JG
Silverman
M A
MA
Entwistle
C B
CB
Hubbard
M M
MM
Weiseman
J S
JS
D000208:Acute Disease; D000681:Amylases / Q000097:blood*; D002985:Clinical Protocols; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy; D000292:Pelvic Inflammatory Disease / Q000097:blood* / Q000175:diagnosis / Q000453:epidemiology; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D016037:Single-Blind Method
D000681:Amylases