Diagnostic Accuracy of Serum Bilirubin in the Prediction of Perforated Appendicitis

Diagnostic Accuracy of Serum Bilirubin in the Prediction of Perforated Appendicitis

Hyperbilirubinemia is reported to be a positive predictor in diagnosing perforated appendicitis. Therefore we analysed the diagnostic accuracy of serum bilirubin in discriminating between perforated and simple/no appendicitis.

Methods:

All consecutive patients undergoing appendectomy for suspected appendicitis from May 2009 to August 2011 were analysed. Primary endpoint was the diagnostic accuracy of serum bilirubin levels to detect perforated appendicitis.

Inclusion Criteria:

• all patients undergoing appendectomy for suspected appendicitis

Exclusion Criteria:

• preexisting liver disease