Giris ve amaç: Acil servise karin agrisi ile basvuran hastalarin bir kismi nda, rutin radyolojik ve laboratuvar testleri ile akut pankreatit teshis edilememektedir. Bu çalismada, akut pankreatit tanisinda serum elastazi n duyarliligi arastirilmistir. Gereç ve yöntem: Acil servise karin agri- si ile basvuran, tani almadan önce karin agrisi kendiliginden iyilesen, ayni zamanda radyolojik ve laboratuvar bulgulari normal olan 80 hastanin serum elastaz düzeyine bakilmistir. Bulgular: Laboratuvar sonuçlari ve USG bulgulari normal olan 2 olguda, elastaz düzeyi yüksek bulunmustur. Bu olgular daha sonra pankreatit bulgulari göstermis ve hastaneye yatirilmistir. Sonuç: Serum pankreatik elastaz, acil serviste akut pankreatit tanisinda diger laboratuvar testlerinden daha özgül ve duyarli olabilir.
Background/aim: Some patients admitted to the Emergency Department (ED) for abdominal pain secondary to acute pancreatitis cannot be diagnosed with routine radiologic and laboratory tests. We investigated the sensitivity of serum elastase in diagnosing acute pancreatitis. Materials and methods: We investigated serum elastase levels in 80 patients that were admitted to the ED with abdominal pain that resolved spontaneously before a diagnosis could be made and who also had normal radiological and laboratory findings. Results: Two cases had elevated elastase levels with normal USG and laboratory results. These cases later showed signs of pancreatitis and were hospitalized. Conclusion: Serum pancreatic elastase can be more sensitive and specific than the other laboratory tests for acute pancreatitis in the ED.