Abstract

Acute Appendicitis is the most common general surgical emergency, and early surgical intervention improves outcomes. Despite the increased use of ultrasonography, computed tomography scanning and laparoscopy, the rate of misdiagnosis of appendicitis has remained constant (15.3%) and the rate of appendicular perforation. In an age accustomed to early and accurate preoperative diagnosis, acute appendicitis remains an enigmatic challenge and a reminder of the art of surgical diagnosis. This study was done to conclude whether the Serum Bilirubin can be considered as a new laboratory marker to aid in the diagnosis of Acute appendicitis and if so, does it have the predictive capacity to warn us about Appendicular perforation.

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