Serum Values Of Amylase And Lipase Of Patient With Gullo S Syndrome

Serum Values Of Amylase And Lipase Of Patient With Gullo S Syndrome Benign pancreatic hyperenzymemia (gullo’s syndrome) is characterized by a more than threefold increase of the serum pancreatic enzymes lipase and amylase activity in the absence of any pancreatic disease. recently, there is an increase in describing cases of gullo’s syndrome in medical literature. During the last two years, the serum lipase activity reached 1,150 u l (normal values range <53), and amylase raised to 385 u l (normal range 30 118) (fig. 1, tab. 1). glucose and.

Serum Values Of Amylase And Lipase Of Patient With Gullo S Syndrome Serum measurements of amylase and lipase were elevated (amylase: 157 u l (normal range: 25 125u l), lipase: 125 u l (normal value: <67 u l)), urinary amylase was normal (160 u l) (normal range: 42 321 u l), and ultrasound did not reveal abnormalities. During the 3 years before presentation, the elevation of serum lipase and amylase levels reached 450 u l (normal <60) and 367 u l (normal 20–100), respectively. abdominal sonography revealed gallbladder stones, and subsequently a laparoscopic cholecystectomy was performed. The results of the laboratory showed high values of serum amylase (221 u l [10 125]) and serum lipase (178.9 u l [13 60]), so acute pancreatitis was suspected, although the rest of the parameter values were normal, including alkaline phosphatase 90 u l. The serum lipase and serum amylase levels continued to increase after that time. this diagnosis requires attention because bph can be the first symptom of pancreatic cancer.

Serum Values Of Amylase And Lipase Of Patient With Gullo S Syndrome The results of the laboratory showed high values of serum amylase (221 u l [10 125]) and serum lipase (178.9 u l [13 60]), so acute pancreatitis was suspected, although the rest of the parameter values were normal, including alkaline phosphatase 90 u l. The serum lipase and serum amylase levels continued to increase after that time. this diagnosis requires attention because bph can be the first symptom of pancreatic cancer. Both amylase and lipase are elevated but can return to normal levels temporarily. we present an interesting case of benign pancreatic hyperenzymemia. this case highlights the importance of identifying this condition to avoid unnecessary testing and reassuring the patient of its benign nature. By definition of the disease, serum amylase and lipase levels will be elevated three times the upper limit of normal for a period of over one year. variations in the levels of the enzymes can occur from day to day, and in some patients may fall into the 'normal' range. Figure 1 shows the individual serum values of amylase, isoamylase, lipase and trypsin detected at the time of the study. as can be seen, the enzymes were abnormally high in all subjects. The most recent laboratory tests, performed in november 2020 (tables ii), detected serum amylase = 141 u l (nv <100 u l) and serum lipase = 402 u l (nv <60 u l). the contrast enhanced abdominal ct showed normal pancreas, unchanged liver, and kidney cysts (figure 5).