Unexplained elevation in serum pancreatic enzymes

Background and aims: Considerably elevated levels of serum amylase and/or lipase are generally diagnostic of acute pancreatitis. We describe two cases associated with marked hyperamylasemia and hyperlipasemia, but without any evidence of pancreatic disease. Patients and results: A young male and a female patient had earlier been admitted to local hospitals with ulcerous and dyspeptic complaints. In both cases, the serum and urinary amylase levels were elevated, and these findings led to the erroneous diagnosis of acute pancreatitis. Hyperamylasemia had not been previously detected in either case. They both had a…