Bilirubin is a specific marker for the diagnosis of acute appendicitis

Total serum bilirubin and other biochemical parameters have been associated with acute appendicitis, mainly in complicated cases. The present study aimed to evaluate the role of diagnosis further investigate as a diagnostic marker irrespective severity pathology. All recorded cases appendicectomies 1‑year period single institution were reviewed. median values white cell count, C‑reactive protein total on admission final histology, their respective rates abnormal normal compared between patients who proven negative histology appendicitis. A 300 studied. Median bilirubin, count significantly appendicitis (P<0.001). Respective demonstrated higher specificity (0.88) but lower sensitivity (0.26) accuracy (0.40) for In conclusion, should be considered workup confirm rather than exclude without focusing subgroups specific disease. White may also contribute work‑up, although limited accuracy.