Clinical Significance of Serum Bilirubin in the Diagnosis of Atypical Acute Appendicitis

Shunxin Hao (Tianyou Hospital Affiliated to Wuhan University of Science & Technology, Wuhan, Hubei, 430064, China)
Lisha Zhao (Tianyou Hospital Affiliated to Wuhan University of Science & Technology, Wuhan, Hubei, 430064, China)

Article ID: 2057

DOI: https://doi.org/10.30564/jim.v8i2.2057

Abstract


Objective: To investigate the significance of serum bilirubin in the diagnosis of atypical acute appendicitis. Methods: perform a retrospective analysis of 120 patients with atypical acute appendicitis diagnosed in our hospital from July 2012 to July 2016. All patients underwent routine liver function tests before surgery. Results: 83 patients were confirmed by surgery as acute appendicitis, of which 68 patients had elevated serum total bilirubin and direct bilirubin, and 15 patients were normal; 37 patients were confirmed by surgery as non-acute appendicitis, of which 7 patients had elevated serum total bilirubin and direct bilirubin, and 30 patients were normal. Conclusion: The increase of serum bilirubin level has certain clinical significance for the diagnosis of atypical acute appendicitis.


Keywords


Bilirubin; Acute appendicitis; Clinical significance

Full Text:

PDF

References


[1] Litao Zhang, Dongchen Gao, et al. The role of laboratory examination in the diagnosis of acute appendicitis[J]. Chinese Journal of Emergency Medicine, 2007, 16(1):68-70. (in Chinese)

[2] Beltran MA, Mendez PE, Barrera RE, et a1. Is hyperbilirubinaemia in appendicitis a Better predictor of perforation than C-reactive protein?——a prospective study. Indian J Surg. 2009 Oct; 71(5):265-72. (in Chinese)

[3] Chunrong Sun, Yunxiang Miao. The value of hyperbilirubinemia in the clinical diagnosis of acute appendicitis[J]. Journal of Hainan Medical University, 2010. (in Chinese)

[4] Yuanbo Wang. Analysis of the value of hyperbilirubinemia in the diagnosis of acute appendicitis[J]. Medical Aesthetics and Beauty (Midmonth), 2015, (3). (in Chinese)


Refbacks

  • There are currently no refbacks.
Copyright © 2020 Shunxin Hao, Lisha Zhao


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.