Evaluating serum bilirubin levels in acute appendicitis and appendiceal perforation

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dc.contributor.authorBali, Rajandeep Singhen_US
dc.contributor.authorRajnien_US
dc.contributor.authorWatali, Yawaren_US
dc.contributor.authorGupta, Shyam Kumaren_US
dc.contributor.authorGupta, Geetanjalien_US
dc.date.accessioned2020-11-18T10:01:00Z
dc.date.available2020-11-18T10:01:00Z
dc.date.issued2020-03
dc.description.abstractBackground: Acute appendicitis is one of the commonest surgical emergencies. Authors undertook this study to evaluate serum bilirubin levels in acute appendicitis and appendiceal perforation.Methods: A retrospective study evaluating the serum bilirubin levels in acute appendicitis and appendiceal perforation was carried out for 6 years at three tertiary care hospitals at India from 2014 to 2019. Patients having acute appendicitis and appendiceal perforation, confirmed on histopathology, with no other medical or surgical comorbidity were included in the study.Results: The total number of our study subjects was 927. 306 patients had appendiceal perforation, amongst these, 226 (74%) had hyperbilirubinemia. Out of the 621 patients having acute appendicitis only 186 (30%) had hyperbilirubinemia. The lowest and the highest serum bilirubin levels of this study group were 0.6 and 3.1 mg/dl, respectively, with an average of 1.6 mg/dl. In patients diagnosed to be having acute appendicitis, the lowest and highest serum bilirubin levels were 0.6 and 2.4 mg/dl, respectively, with an average of 1.3 mg/dl. As for the patients having appendiceal perforation the lowest and highest serum bilirubin levels were 0.8 and 3.1 mg/dl, respectively, with an average of 1.8 mg/dl.Conclusions: Hyperbilirubinemia is seen in acute appendicitis but predominantly in appendiceal perforation, so serum bilirubin estimation may help us in diagnosing appendiceal perforation pre-operatively if and when used in conjunction with other available diagnostic modalities.en_US
dc.identifier.affiliationsDepartment of Surgery, Government Medical College, Srinagar, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Government Medical College, Jammu, Jammu and Kashmir, Indiaen_US
dc.identifier.affiliationsDepartment of Surgery, Aakash Super Speciality Hospital, Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, Narayana Hrudalaya, Jammu and Kashmir, Indiaen_US
dc.identifier.citationBali Rajandeep Singh, Rajni, Watali Yawar, Gupta Shyam Kumar, Gupta Geetanjali. Evaluating serum bilirubin levels in acute appendicitis and appendiceal perforation. International Journal of Research in Medical Sciences. 2020 Mar; 8(3): 859-862en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212116
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20200559en_US
dc.subjectAppendicitisen_US
dc.subjectAppendicealen_US
dc.subjectHyperbilirubinemiaen_US
dc.subjectPerforationen_US
dc.titleEvaluating serum bilirubin levels in acute appendicitis and appendiceal perforationen_US
dc.typeJournal Articleen_US
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