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Ege Journal of Medicine
2019, Cilt 58, Sayı 1, Sayfa(lar) 090-091
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A case of acute appendicitis admitted with isolated hyperbilirubinemia
Hasan Sultanoğlu1, Ayça Özel2, Seda Özkan2, Tuba Erdem Sultanoğlu3
1Ersin Arslan Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Gaziantep, Türkiye
2Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Acil Tıp Kliniği, Ankara, Türkiye
3Şehitkamil Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Gaziantep, Türkiye
Keywords: Hyperbilirubinemia, abdominal pain, perforated appendicitis

Jaundice and diffuse abdominal pain are rare findings in patients with acute appendicitis and generally due to complicated late term of appendicitis such as perforated/gangrenous appendicitis. The common causes of hyperbilirubinemia which leads to jaundice are genetic disorders, infections, diseases of liver and gall bladder, toxins and heart failure. Hyperbilirubinemia with normal levels of liver enzymes could be the result of sepsis or systemic infections, metabolic disorders or pregnancy. Bilirubin levels could be easily detected in the emergency department. Acute appendicitis should be also kept in mind when isolated hyperbilirubinemia is detected in patients presenting with acute jaundice in the emergency department.

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