Significance of serum amylase level in evaluating pancreatic trauma

A series of fifty-one patients who underwent exploratory laparotomy for blunt abdominal trauma is reviewed. Attempts to correlate preoperative serum amylase levels with pancreatic injury were unsuccessful. We could find no statistically significant correlation between elevated serum amylase and pancreatic injury. The accuracy of the test improved somewhat with markedly abnormal serum amylase levels (greater than 300 Somogyi units/ 100 ml), but even at these levels the correlation was not significant. One must conclude that there is no correlation between elevated serum amylase and pancreatic injury in blunt abdominal trauma. Decisions as to the advisability of operation in patients with such trauma should therefore be based on other parameters.