A Rare Cause of Hyperamylasemia: A Case With Pneumothorax and Subcutaneous Emphysema Around Parotit Gland in a Trauma Patient

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Peksöz R., Asya O.

3. Uluslararası Akademik Araştırmalar Kongresi (ICAR), Bolu, Türkiye, 20 - 22 Temmuz 2020, cilt.1, ss.434

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 1
  • Basıldığı Şehir: Bolu
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.434
  • Atatürk Üniversitesi Adresli: Evet

Özet

Amylase is a frequently used laboratory test in emergency departments especially in trauma

patients. Although pancreas is one of the major focus of hyperamylasemia in trauma patients,

non-pancreatic causes of hyperamylasemia is not rare. And to be aware of non-pancreatic

reasons of hyperamylasemia in trauma patients may prevent unnecessary diagnostic tests. In

this study, we presented a 52-years-old patient with hyperamylasemia of non-pancreatic origin

who had in-car traffic accident. The patient’s abdominal tomography was completely normal

and there was no defence or rebound in abdominal examination.The patient had minimal

pneumothorax of the left lung which had deteriorated in the following days. Although initially

there was no emphysema in the head and neck region, subcutaneous emphysema occured in the

neck and periparotid region together with the deterioration of left lung pneumothorax. Possible

mechanisms of hyperamylasemia in our case are acute hypoxia induced hyperamylasemia as a

result of left lung pneumothorax and massage-like activity of subcutaneous emphysema around

parotid gland.

Anahtar Kelimeler: Hyperamylasemia, Acute Pancreatitis, Pneumothorax, Subcutaneous

Emphysema, Parotitis