The surgical significance of methaemalbuminaemia

Battersby, Cameron; Green, Marjorie K.

doi:10.1136/gut.12.12.995

Cited by 15 publications

(2 citation statements)

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“…The clinical diagnosis was considered as correct if acute pancreatitis had been considered by the surgical registrar on his admission notes prior to confirmation by estimations of serum amylase level. Later in the series, the plasma methEmalbumin (MHA) level was measured also (Battersby and Green, 1971). The aetiology of the disease was determined radiologically, biochemically, or at laparotomy, and by taking a careful history about alcohol intake from both the patient and his or her relatives.…”

Section: Methodsmentioning

confidence: 99%

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Acute Pancreatitis: The Queensland Scene

Battersby

Chapuis

1977

Australian and New Zealand Journal of Surgery

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One hundred patients suffering from acute pancreatitls and studied in two large teachlng hospitals in Brisbane between 1959 and 1973 were reviewed. Gallstones were present in 43 patients (of whom 31 were female), and a history of alcoholic excess was elicited i n 23. Sixty-three patients were aged over 50 years. Characteristic clinical features included spreading epigastric pain with radiation to either o f the upper quadrants of the abdomen. Left-sided upper abdominal peritonitis associated with severe repetitive vomiting was suggestive of the dlagn'osis. The serum amylase level in most cases fell below t h e arbitrary diagnostic level of 500 Somogyi unIts/100 m l within 72 hours of the onset of the pain. Acute hzmorrhaglc necrosis o f the pancreas was positively diagnosed in 15 patients, six of whom died. Tho 'overall mortality rate in the series was 9%. THE Eetiology and natural history of acute pancreatitis have been the subject of a number of recent Australian studies (Boyer and Mackay, 1960; Hennessy, 1965 : Corlett et alii,

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Section: Methodsmentioning

confidence: 99%

“…to the onset of pain. Acute hamorrhagic pancreatitis was diagnosed at operation or autopsy on nine occasions, and biochemically by the presence of methamalbumin in the plasma (Battersby and Green, 1971) in another six.…”

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confidence: 99%