Q: How Bilirubin level can be used to predict appendiceal perforation?


Answer:  Total bilirubin level more  than 1.0 mg/dL is a marker for appendiceal perforation with a sensitivity of 70 percent and a specificity of 86 percent!



Reference: 

 Sand M, Bechara FG, Holland-Letz T, et al. Diagnostic value of hyperbilirubinemia as a predictive factor for appendiceal perforation in acute appendicitis. Am J Surg 2009; 198:193.