Elevated lipase
Approach to elevated lipase:
Note that lipase is not specific for pancreatic disease
| Pancreatic disease |
| Pancreatitis |
| Complications of pancreatitis (pseudocysts, abscess) |
| Trauma |
| Surgery |
| Endoscopic retrograde cholangiopancreatography (ERCP) |
| Ductal obstruction |
| Pancreatic carcinoma |
| Cystic fibrosis |
| Salivary disease |
| Infection |
| Trauma |
| Radiation |
| Ductal obstruction |
| Gastrointestinal disease |
| Perforated or penetrating peptic ulcer |
| Perforated bowel |
| Obstructed bowel |
| Mesenteric infarction |
| Appendicitis |
| Cholecystitis |
| Liver disease |
| Severe gastroenteritis |
| Celiac disease |
| Gynecologic disease |
| Ruptured ectopic pregnancy |
| Ovarian or fallopian cysts |
| Pelvic inflammatory disease |
| Neoplasms |
| Solid tumors of the ovary, prostate, lung, esophagus, breast, and thymus |
| Multiple myeloma |
| Pheochromocytoma |
| Other |
| Renal failure |
| Alcoholism |
| Macroamylasemia |
| Burns |
| Type 2 diabetes mellitus |
| Acidosis (ketotic and nonketotic) |
| Pregnancy |
| Acquired immune deficiency syndrome (AIDS) |
| Cerebral trauma |
| Abdominal aortic aneurysm |
| Anorexia nervosa, bulimia |
| Postoperative |
| Drug induced |
| Idiopathic |
| Following double-balloon enteroscopy |
| Myocardial infarction |