AbstractAim: The aim of the present study was to identify whether preoperative bilirubin level can predict the severityof the disease.Material & Methods: The study was conducted in the Department of General Surgery, Himalayan Institute ofMedical Sciences, Dehradun, India for Eight months on 100 consecutive patients who were clinically diagnosedas acute appendicitis. These patients were evaluated with Alvarado score. In addition, preoperative bilirubinlevel and liver enzymes were estimated. Ultrasound abdomen was done preoperatively routinely. After surgeryhistopathology was studied. The parameters which showed statistically significant results for predictingcomplications were analyzed.Results: In the conducted investigation, the gender distribution revealed that 62 individuals (62%) identified asmen, whereas 38 individuals (38%) identified as girls. Among the total of 100 instances, 45 were deemed to becomplex in nature. Out of a total of 100 patients, 60 exhibited high levels of bilirubin whereas the other 40instances had normal bilirubin levels. Among a sample size of 100 cases, it was observed that 40 patients had atotal leucocyte count above 11000.Conclusion: Patients diagnosed with appendicitis who have increased levels of bilirubin are at a heightened riskfor experiencing complications such as perforation, gangrene, and suppuration.

AbstractAim: The aim of the present study was to identify whether preoperative bilirubin level can predict the severityof the disease.Material & Methods: The study was conducted in the Department of General Surgery, Himalayan Institute ofMedical Sciences, Dehradun, India for Eight months on 100 consecutive patients who were clinically diagnosedas acute appendicitis. These patients were evaluated with Alvarado score. In addition, preoperative bilirubinlevel and liver enzymes were estimated. Ultrasound abdomen was done preoperatively routinely. After surgeryhistopathology was studied. The parameters which showed statistically significant results for predictingcomplications were analyzed.Results: In the conducted investigation, the gender distribution revealed that 62 individuals (62%) identified asmen, whereas 38 individuals (38%) identified as girls. Among the total of 100 instances, 45 were deemed to becomplex in nature. Out of a total of 100 patients, 60 exhibited high levels of bilirubin whereas the other 40instances had normal bilirubin levels. Among a sample size of 100 cases, it was observed that 40 patients had atotal leucocyte count above 11000.Conclusion: Patients diagnosed with appendicitis who have increased levels of bilirubin are at a heightened riskfor experiencing complications such as perforation, gangrene, and suppuration.