Serum bilirubin as a diagnostic marker in acute appendicitis: A prospective study

M S Ravisankar; J. Sridhar; Shailesh Math; Babu S G Dinesh

doi:10.53730/ijhs.v6nS5.10432

Authors

Ravisankar MS Associate professor, Dept of General Surgery, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital, Salem
J. Sridhar Professor and HOD, Dept of General Surgery, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital, Salem
Shailesh Math Post Graduate, Dept of General Surgery, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital, Salem
Dinesh Babu S G Graduate, Dept of General Surgery, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital, Salem

Keywords:

Acute appendicitis, appendicular perforation, serum bilirubin, Hyperbilirubinemia, appendicectomy, Mortality

Abstract

Background- Acute Appendicitis is the most common cause of acute abdomen. The initial diagnosis of acute appendicitis is based on clinical history and physical examination. Objectives- To determine the relationship between hyperbilirubinemia and acute appendicitis and to evaluate the usefulness of Serum Bilirubin as a diagnostic marker for acute appendicitis. Methods-It was Prospective study. Patients admitted with clinical diagnosis of acute appendicitis under the Department of Surgery in Vinayaka Mission’s KirupanandaVariyar Medical College and Hospital, Salem from January 2020 to October 2021. Convenient Sampling (Non-Probability) was used. The sample size was 100. Chi- square or Fischer exact test was used as test of significance. SPSS (Version 16.0) was used. Results-The mean Age among the subjects was 25.04 years ranging from 8 to 70 years. Among the subjects, 59 (59%) were Males and 41 (41%) were Females. Among the subjects, 81 (81%) had Acute Appendicitis and 19 (19%) had Appendicular Perforation.the patients with Direct bilirubin > 0.3 mg/dl, 15 (18.75%) had Appendicular Perforation and among the patients with Direct bilirubin < 0.3 mg/dl, 4 (20%) had Appendicular Perforation. There is no difference in Appendicular Perforation among patients with Direct bilirubin > 0.3 mg/dl and <0.3 mg/dl (18.75% vs 20%).

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