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
Hauptverfasser: Adams, H. L., Jaunoo, S. S.
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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, p  
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-015-0540-x