Title: Efficacy of Combined Serum Bilirubin and Serum C-Reactive Protein Preoperatively in Predicting the Diagnosis of Acute Appendicitis
Authors: Prof Sreeramulu P N, Dr Md Kashif Imran, Dr Mohan Kumar K, Dr Sandeep Vogu, Dr Silar
DOI: https://dx.doi.org/10.18535/jmscr/v5i8.135
Abstract
Introduction
Acute appendicitis is one of the most common cause of acute abdomen in young adults and about 7% of the population suffers from acute appendicitis in their lifetime, and appendicectomy is the most commonly done emergency abdominal surgery worldwide1. Even though surgeons have been dealing with acute appendicitis for more than 100 years, its diagnosis remains complicated. Appendicitis can be detected by the experienced surgeons in 80% of the cases, but as acute acuteappencitis being always a surgical emergency and the decision for proceeding with surgery (appendicectomy) will be on junior surgeons with less experience. Their decision have an accuracy rate which can go down up to 50%, so it can go wrong in about 50% of time. The negative appendicectomy rates are high inspite of careful clinical, laboratory and ultrasound examinations. the negative appendicectomy rate is around 20-30% in patients on whom appendicectomy was performed based on clinical diagnosis alone2. Computed tomography, laparoscopy has revolutionized the diagnosis of acute appendicitis with good results, but the availability of such facility and the high cost for performing the same will not be present all the times especially in rural places
