Estimation of serum bilirubin level as a diagnostic laboratory marker of acute appendicitis and its role in prediction of appendicular perforation

Background: Acute appendicitis is the most common cause of surgical abdomen. A delay in diagnosis and subsequent intervention may lead to appendicular perforation which leads peritonitis further complications including death. In this study, we tried evaluate – “Estimation serum bilirubin level as a diagnostic laboratory marker acute its role prediction perforation.” Aims Objectives: The objectives study are follows: To relationship between hyperbilirubinemia credibility for appendicitis. whether elevated Bilirubin levels have predictive potential perforation. Materials Methods: Patients clinically diagnosed with appendicitis, supported by imaging studies, who gave consent were included study. All those patients underwent estimation along other investigations. Data collected compiled analyzed. Results: among 408 patients, sensitivity predicting was 74.59%. Specificity 12.38%. Positive value 71.06%. Negative 14.44%. Odds ratio 0.4147. Conclusion: Serum appears be promising diagnosing