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Doctoral Thesis | General Surgery | India | Volume 13 Issue 7, July 2024 | Rating: 4.2 / 10
Evaluation of Importance of S Bilirubin Level in Cases of Simple and Complicated Acute Appendicitis
Dr. Anurag Bhavanam | Dr. Prakash Dave
Abstract: Introduction: Acute appendicitis is the commonest cause of Acute Surgical abdomen. Delay in diagnosis of acute appendicitis leads to perforation and peritonitis and increased mortality. Perforation ranges 50-90% in various series, Recently elevation in serum bilirubin was reported, but the importance of the raised total bilirubin has not been stressed in acute appendicitis and appendicular perforation. The present study was undertaken to assess relationship between hyperbilirubinemia and acute appendicitis/perforated appendicitis and to evaluate its importance as a diagnostic marker. Materials and Methods: Study was conducted in the department of general surgery, Sri Devaraj URS Medical college. A total of 100 patients with clinical diagnosis of acute appendicitis and co relationships with serum bilirubin leading to appendicular perforation were studied. All patients data collected with respect to age, gender, duration of symptoms. surgical procedures were undertaken with the understanding and appropriate informed consent of each patient before surgery. The operations were performed under regional or General anesthesia. Results: As per the study, the age group <20years is most commonly affected (24%) followed by age group 20 - 24 (21%). The youngest patients of this study were of 15years old while the oldest patient was a 60 year old, Out of 100 patients enrolled for the study, 68 patients (68%) were males while the remaining 32 patients (32%) were females The overall mean age of all 100 patients was 27 years (range, 15 - 60 years). The average age in males and females was 27.04years and 26.71years respectively, Among the study group 28 patients had serum bilirubin levels >1mg% and 72 patients<1mg%. In this study of 100 patients, hyperbilirubinemia was found in 19 of 29 patients with gangrenous/ perforated appendicitis. Conclusion: This study suggests Serum bilirubin levels appears to be a promising new laboratory marker for diagnosing acute appendicitis. Patients with clinical signs and symptoms of appendicitis and with hyperbilirubinemia higher than the normal range should be identified as having a higher probability of Appendicular perforation.
Keywords: Acute appendicitis, perforated appendicitis, serum bilirubin
Edition: Volume 13 Issue 7, July 2024,
Pages: 760 - 762