Role of Liver Function Test Parameters in Acute Appendicitis and its Subsequent Complications in Odisha Population: A Retrospective Study

  • Avinash Pattjoshi Sayeed Laxman Nayak Medical College and Hospital, Koraput, Odisha, India
  • Sunil Kumar Habada Sayeed Laxman Nayak Medical College and Hospital, Koraput, Odisha, India
Keywords: Acute appendicitis, Liver function test, Gangrenous, Perforations, Inflammation

Abstract

Background: Acute appendicitis is also one of the surgical emergencies, many techniques including ultrasonography (USG),
magnetic resonance imaging, computed tomography scan of the abdomen, and laboratory tests confirm the acute appendicitis but
no technique indicate or confirm the severity of appendicitis which is more fatal as it includes gangrene or perforated appendicitis.
Hence liver function test (LFT) parameters were correlated with the severity of acute appendicitis.
Method: Sixty patients of different age groups having acute appendicitis were confirmed by USG and clinical findings. Routine
blood examination, LFT parameters were also studied and compared.
Results: Out of 66 patients elevated total Bilirubin was observed in 32 (48%), raised serum glutamic oxaloacetic transaminase in
17 (25.7%), raised serum glutamic pyruvic transaminase in 5 (7.5%) raised alkaline phosphatase in 6 (9.09%) patients. Specificity
sensitivity positive predictive value and P value were highly significant (P < 0.001) in complicated appendicitis.
Conclusion: The elevated parameters of LFT have significant results in complicated appendicitis which included gangrene/
perforated appendicitis. Hence, LFT parameters can be used as diagnostic value to predict the severity of acute appendicitis and
avoid the morbidity and mortality of the patients.

Author Biographies

Avinash Pattjoshi, Sayeed Laxman Nayak Medical College and Hospital, Koraput, Odisha, India

Senior Resident, Department of Surgery

Sunil Kumar Habada, Sayeed Laxman Nayak Medical College and Hospital, Koraput, Odisha, India

Assistant Professor, Department of Surgery

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Published
2021-12-13
Section
Articles