OBJECTIVE To study the role of hyperbilirubinaemia as a predictive factor for appendiceal perforation in acute appendicitis. METHODS The prospective, descriptive study was conducted at the Abbasi Shaheed Hospital and the Karachi Medical and Dental College, Karachi, from January 2010 to June 2012. It comprised all patients coming to the surgical outpatient department and emergency department w...

although complicated acute appendicitis is occasionally observed in general practice, the diagnosis of appendiceal abscess by colonoscopy is unusual. we report a case of appendiceal abscess with spontaneous drainage into the lumen of colon diagnosed during colonoscopy and resolved by the time of surgery.

Acute appendicitis is a common surgical presentation usually managed with laparoscopic appendicectomy. There has been long-standing debate as to whether conservative management of acute could provide superior alternative management. COVID-19 infection emerged in December 2019 and was labelled pandemic by the World Health Organisation March 2020. Re-structuring result forced rapid changes guidel...