{"id":149,"date":"2017-04-17T07:13:00","date_gmt":"2017-04-17T07:13:00","guid":{"rendered":"https:\/\/blogs.bmj.com\/fg\/?p=149"},"modified":"2018-09-10T11:38:58","modified_gmt":"2018-09-10T11:38:58","slug":"an-unusual-cause-for-hyperamylasaemia","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/fg\/2017\/04\/17\/an-unusual-cause-for-hyperamylasaemia\/","title":{"rendered":"An unusual cause for hyperamylasaemia"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-152\" src=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-1-300x225.png\" alt=\"\" width=\"392\" height=\"294\" srcset=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-1-300x225.png 300w, https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-1.png 720w\" sizes=\"auto, (max-width: 392px) 100vw, 392px\" \/><\/a><\/p>\n<p>A 79-year-old man with an extensive previous heart history was admitted electively for investigation of weight loss and deterioration of renal function.<br \/>\nWhilst an inpatient he developed severe epigastric pain and an initial blood test revealed an acutely raised amylase (&gt; 2000) and deranged liver function tests. A non-contrast CT scan was done.<br \/>\nWhat is the diagnosis ?<\/p>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Dr Vasileios Galanakis<\/p>\n<p>Answer:<\/p>\n<ul>\n<li>Due to the close anatomical proximity between the gastroduodenal artery and the common bile duct, an aneurysm or a sealed hematoma can result in extrinsic bile duct pressure leading to obstructive jaundice and hyperamylasaemia.<\/li>\n<li><a href=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-answer.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-156 aligncenter\" src=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-answer-300x212.png\" alt=\"\" width=\"513\" height=\"362\" srcset=\"https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-answer-300x212.png 300w, https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-answer-768x543.png 768w, https:\/\/blogs.bmj.com\/fg\/files\/2017\/04\/V.-Galanakis-Frontline-Gastroenterology-answer-1024x724.png 1024w\" sizes=\"auto, (max-width: 513px) 100vw, 513px\" \/><\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 79-year-old man with an extensive previous heart history was admitted electively for investigation of weight loss and deterioration of renal function. Whilst an inpatient he developed severe epigastric pain and an initial blood test revealed an acutely raised amylase (&gt; 2000) and deranged liver function tests. A non-contrast CT scan was done. What is [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/fg\/2017\/04\/17\/an-unusual-cause-for-hyperamylasaemia\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":308,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10257,1],"tags":[],"class_list":["post-149","post","type-post","status-publish","format-standard","hentry","category-fgcaseofthemonth","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>An unusual cause for hyperamylasaemia - Frontline Gastroenterology Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/fg\/2017\/04\/17\/an-unusual-cause-for-hyperamylasaemia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"An unusual cause for hyperamylasaemia - Frontline Gastroenterology Blog\" \/>\n<meta property=\"og:description\" content=\"A 79-year-old man with an extensive previous heart history was admitted electively for investigation of weight loss and deterioration of renal function. Whilst an inpatient he developed severe epigastric pain and an initial blood test revealed an acutely raised amylase (&gt; 2000) and deranged liver function tests. A non-contrast CT scan was done. 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