Hyperbilirubinaemia in appendicitis: the diagnostic value for prediction of appendicitis and appendiceal perforation
Aim The aim of this study is to evaluate the diagnostic value of pre-operative bilirubin levels in the diagnosis of acute appendicitis and appendiceal perforation. Method A retrospective analysis of 557 patients undergoing emergency appendicectomy over a 24-month period at a large teaching hospital....
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Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2016-04, Vol.42 (2), p.249-252 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Aim
The aim of this study is to evaluate the diagnostic value of pre-operative bilirubin levels in the diagnosis of acute appendicitis and appendiceal perforation.
Method
A retrospective analysis of 557 patients undergoing emergency appendicectomy over a 24-month period at a large teaching hospital. Hyperbilirubinaemia was defined as >25 µmol/L. Data were analysed using descriptive statistics.
Results
484 of the 557 (86.9 %) operated cases were found histologically to be appendicitis. 116 cases of the 484 were perforated (24 %). Bilirubin levels were significantly higher in the group with appendicitis versus the group found to have a normal appendix at histology, [median (IQR) 12.0 µmol/L (9.00) vs. 8.0 µmol/L (7.00) respectively,
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ISSN: | 1863-9933 1863-9941 |
DOI: | 10.1007/s00068-015-0540-x |