The diagnostic value of preoperative Hyperbilirubinemia in perforated appendicitis

Shriranjan Kala; Ashish Jaiswal; Pankaj Kumar Verma

Volume : VIII, Issue : II, February - 2019

The diagnostic value of preoperative Hyperbilirubinemia in perforated appendicitis

Shriranjan Kala, Ashish Jaiswal, Pankaj Kumar Verma

Abstract :

Introduction: Acute appendicitis is most common surgical emergency in developed countries and is most common in second decade of life. Acute appendicitis presents the surgeon with little by way of a diagnostic challenge. Delays in diagnosis may results in perforation often with gangrene leading to diffuse peritonitis. The aim of this study was to determine the sensitivity, specificity and the diagnostic value of total serum bilirubin levels as a predictor of perforated appendicitis.

Materials and methods: A retrospective analysis of emergency open appendicectomies performed in tertiary hospital during 2014–2017. Data were collected included laboratory and histopathological reports. Patients were grouped according to histopathological reports and comparisons were made between them.

Results : Hyperbilirubinaemia had a specificity of 88.42%, senisitivity 64.28% positive predictive value 71.05% negative predictive value 84.84% and accuracy value was of 81.02% for perforated appendicitis.

Conclusions: Preoperative serum bilirubin levels are reliable, sensitive and specific to diagnosis and a prediction of perforated appendicitis.