Assessment of Methemalbumin as a Diagnostic Test for Acute Pancreatitis

Anderson, Marion C.; Toronto, I. Richard; Needleman, Saul B.; Gramática, Luis

doi:10.1001/archsurg.1969.01340120124023

Cited by 21 publications

(2 citation statements)

References 10 publications

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“…Serum immunoreactive trypsin, chymotrypsin, elastase, phospholipase A2, a2 macroglobulin levels, methemalbumen, carboxypeptidases, and carboxyl ester hydrolase levels have been reported to be of possible value for the diagnosis of pancreatitis. At this time, their superiority to measurements of amylase and lipase levels is unproved [15,17,21,30,[33][34][35][36][37].…”

Section: Other Testsmentioning

confidence: 99%

Diagnostic standards for acute pancreatitis

1997

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An accurate history and thorough physical examination will often raise clinical suspicion of acute pancreatitis in the differential diagnosis of a patient presenting with acute abdominal pain. An accurate diagnosis is needed to eliminate etiologies of acute abdominal pain and to appropriately direct therapy. Confirmation of the diagnosis is most often made by evaluation of serum amylase and lipase levels. Although hyperamylasemia is found in the majority of patients with acute pancreatitis, other nonpancreatic acute abdominal conditions may be present with hyperamylasemia. CT scanning provides an accurate confirmation of clinical and laboratory findings and offers excellent anatomic and morphologic representation of the pancreas and peripancreatic tissue. The following article, written by the late John H.C. Ranson, presents a discussion of the modalities available for diagnosing acute pancreatitis.

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Section: Other Testsmentioning

confidence: 99%

Diagnostic standards for acute pancreatitis

1997

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“…Northam et al (1963) failed to detect methaemalbuminaemia in three cases with ruptured ectopic pregnancy, two with fractured femur, one with bleeding gastric ulcer, and one with traumatic intraabdominal haemorrhage. Experimental studies have shown that methaemalbuminaemia may occur in the dog in haemorrhagic pancreatitis (Joseph, Stevens, and Longmire, 1968) and also in intestinal 995 infarction (Anderson, Toronto, Needleman, and Gramatica, 1969).…”

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confidence: 99%