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54 Possible Causes for Chronic Abdominal Pain, Lipase Increased, Periumbilical Pain

  • Acute Pancreatitis

    At delayed diagnosis (3 days) no enzyme was superior to lipase. The combination of lipase and amylase did not increase diagnostic accuracy.[] Spangler, Acute, Recurrent, and Chronic Abdominal Pain, Problem‐Based Approach to Gastroenterology and Hepatology, (44-63), (2011). Martin J. Salwen, Haseeb A.[] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[]

  • Chronic Pancreatitis

    […] serum amylase level Increased serum lipase level Serum trypsinogen Tests that may show the cause of pancreatitis include: Serum IgG4 (for diagnosing autoimmune pancreatitis[] Chronic abdominal pain is the major symptom of chronic pancreatitis.[] […] amounts are normal Diarrhea, nausea, and vomiting Fatty or oily stools Pale or clay-colored stools Exams and Tests Tests to diagnose pancreatitis include: Fecal fat test Increased[]

  • Pancreatic Pseudocyst

    Amylase and lipase were 483 and 2125 U/L, respectively.[] The patient's chronic abdominal pain was likely due, at least in part, to the development of a pseudocyst.[] A 50 year old male with a history of chronic alcoholic pancreatitis, presented with abdominal pain for 3 months, worsening over the past several days.[]

  • Acute Cholecystitis

    More marked increases, especially if lipase (amylase is less specific) is elevated 2-fold, suggest bile duct obstruction.[] chronic cholecystitis.[] 64 yo female presents to the emergency department with periumbilical pain that was first noted yesterday after a meal. The pain subsequently moved to the RLQ.[]

  • Malignant Neoplasm of Pancreas

    Abdominal pain, weight loss, jaundice, and vomiting are some typical symptoms.[] Important signs include an upper abdominal mass, icterus, hepatomegaly, splenomegaly, palpable gallbladder (Courvoisier’s sign), periumbilical nodules (Sister Mary Joseph’[] Smoking, chronic pancreatitis, male sex, being black, and possibly long-standing diabetes are risk factors for pancreatic cancer.[]

  • Acute Intermittent Porphyria

    Increases of serum amylase and lipase, as well as mild pancreatic edema on ultrasonography, were noted during the acute attack of AIP, suggesting concomitant acute pancreatitis[] The abdominal pain is severe and lasts for several days. Severe abdomen pain of short ( 1 d) duration or chronic abdominal pain is unusual.[] Epigastric and colicky abdominal pain is severe and often lasts for several days but chronic abdominal pain is unusual.[]

  • Choledochal Cyst

    […] bilirubin Mild elevations of amylase and lipase Ultrasound Complications : Cholangiocarcinoma Differential Diagnosis : Caroli's syndrome (intrahepatic dilation of ducts)[] Clinical Manifestations The triad of pain, jaundice, and abdominal mass presents in 50% of infants. Chronic intermittent abdo. pain occurs in 80% if 2yrs.[] Serum amylase and lipase concentrations may be increased in the presence of pancreatitis.[]

  • Pancreatitis

    Patient II had a persistent anemia treated with blood transfusions until POD 3, when laboratory tests showed increased lipase and bilirubin levels.[] Chronic abdominal pain is the primary reason that patients seek medical attention for this problem.[] A picture of severe abdominal pain in epigastrium and the periumbilical region, often irradiating to the back, nausea, and high serum amylase or lipase levels usually confirms[]

  • Choledocholithiasis

    Amylase/Lipase – may be elevated if there is an element of pancreatitis.[] A 79-year-old woman was admitted to our hospital with upper abdominal pain radiating through to the back in November 2016.[] A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens.[]

  • Chronic Cholecystitis

    […] can be tested for with blood tests (serum liver tests, amylase, lipase).[] The imaging diagnosis of chronic cholecystitis is generally made by sonographic demonstration of calculi in a setting of chronic recurrent abdominal pain or nonspecific dyspeptic[] 64 yo female presents to the emergency department with periumbilical pain that was first noted yesterday after a meal. The pain subsequently moved to the RLQ.[]