Retrospective Study to Explore a New Predictor for the Early Diagnosis of Perforated Acute Appendicitis

Journal Title: Medical Journal of Clinical Trials & Case Studies - Year 2019, Vol 3, Issue 1

Abstract

Background: Acute appendicitis (AA) is one of the most common indications for emergency abdominal surgery. Objective: To assess diagnostic and prognostic role of serum bilirubin in the management and diagnosis of acute appendicitis, as well as confirming the relationship between them. Methods: A data has been collected about Patients diagnosed with acute appendicitis male and females from the age of 4 up to 80 among king Fahad hospital and East Jeddah hospital during the period from 1st Jan 2012 up to 30th July 2017, with sample size of 888 patients. Results: The study was comprised of 888 consecutive patients. Significance was confirmed as P-value <0.05 Significance was found upon analyzing direct bilirubin for all age groups, total bilirubin for age group less than 15 years, direct bilirubin for 15-20 and 21-30 age groups. Conclusions: Our investigation confirms that bilirubin level might be a biomarker for having appendicitis, it can occasionally differentiate between types of appendicitis, but this is not a sharp ending as it has no role in patients within age groups of above 30 years. However, a problem of specificity is present which hinders the adoption of serum bilirubin as a biomarker foe AA. In addition, several other methods are more specific for the diagnosis and treatment regimen through suitable surgery procedure.

Authors and Affiliations

Shaker AM*, Malik A and Akram B

Keywords

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  • EP ID EP755833
  • DOI 10.23880/mjccs-16000195
  • Views 1
  • Downloads 0

How To Cite

Shaker AM*, Malik A and Akram B (2019). Retrospective Study to Explore a New Predictor for the Early Diagnosis of Perforated Acute Appendicitis. Medical Journal of Clinical Trials & Case Studies, 3(1), -. https://europub.co.uk/articles/-A-755833