The Diagnostic Value of Bilirubin in Acute Appendicitis
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 3
Abstract
Acute appendicitis is the commonest cause of “Acute abdomen”. Appendicectomy is the most frequently performed emergency operation. The aim of this study is to determine the diagnostic accuracy of the total bilirubin in acute and perforated appendicitis as well as it’s value in excluding the condition. The study is an prospective study.This study was performed on 100 patients who have been clinically diagnosed of having acute appendicitis and who were posted for emergency appendicectomy have been clinically and radiologically diagnosed of acute appendicitis. Out of 100 patients, 52 were males and 48 are females, so male predominance is seen in the present study. Appendicitis is common in the age group of 21 - 30 years and <20 years in this study. Appendicitis reaches its peak incidence in the teens and early 20’s.Clinical diagnosis was found to be correct in 88% of cases and hence the rate of negative laprotomies for acute appendicitis in our study is 12%. Patients presenting with elevated levels of serum bilirubin in the context of right iliac fossa pain warrant early surgical intervention.The diagnosis of acute appendicitis, however remains multifactorial and such test simply help to guide the surgeon in the decision making process.
Authors and Affiliations
Ravindra Nath Singh
Keywords
Related Articles
- EP ID EP472035
- DOI 10.21088/nijs.0976.4747.8317.8
- Views 95
- Downloads 0
An Assessment of Correlation between IPSS and Post Operative Urinary Retention in Groin Hernia Surgery under Spinal Anesthesia
Introduction: We assessed the correlation between the International Prostate Symptom Score (IPSS), patient age and postoperative urinary retention in patients undergoing inguinal hernia repair. Methods: 84 male patients...
Accessory Breast
Present study aims to investigate characteristics, diagnosis and treatment of accessory breast. All patients with swelling in axilla. All the patients undergone excision for the swelling. The follow-up period for the pat...
Analgesic Effect of Transversus Abdominis Plane (TAP) Block in Lower Abdominal Surgeries Like Appendectomy, Hernia Repair, Turp
Purpose of this study is to relive postoperative pain as effective pain management is now integral part of surgical management. Effective postoperative pain management has a humanitarian role with additional medical and...
A Study of Surgical Management of Vesicle Calculus in Pediatric Patients
In Paediatric Surgery practice in our region Urinary bladder calculi is common health problem. Material and Methods: It’s a retrospective study of all cases of bladder stone admitted and operated in two tertiary care ce...
Testicular Abscess: Findings of A Study on Eight Patients
Testicular abscess is a rare surgical entity scrotal region. E Coli is the commonest causative organism. A total number of eight cases of testicular abscesses had been reviewed for a period of one year. It was seen that,...