Serum amylase is NOT raised in: (A) Cholecystitis, (B) Peptic ulcer perforation, (C) Intestinal ischemia, (D) Ruptured ovarian cyst
Answer is D. (D) Ruptured ovarian cyst > Appendicitis alone does not cause increased amylase. Perforated appendix, may be associated with increased amylase.> Abdominal disorders associated with increased amylase levels include> Biliary tract disease: Cholecystitis Choledocholithiasis> Intra-abdominal disease: Perforating or penetrating peptic ulcer Intestinal obstruction or infarction Ruptured ectopic pregnancy Peritonitis Aortic aneurysm Chronic liver disease Postoperative