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Tubal Amylase

From the Department of Obstetrics and Gynecology. University of South Florida College of Medicine, Tampa, Florida

Abstract

The fallopian tube and paratubat cysts of mullerian origin have been proven lo be rich in alpha-amylase. It is postulated that amylase activity is elevated with ruptured ectopic pregnancies and that cul-de-sac blood will demonstrate tins elevated amylase value when measured in the standard clinical chemistry laboratory. A study is presented comparing the amylase values obtained during culdocentesis from ruptured ectopic pregnancies and other cases of intraabdominal bleeding. These data suggest that an elevated serum and/or peritoneal fluid amylase may be of value in differentiating between ovarian and tubal bleeding, but reliance should not be placed upon a negative test.