Obstructive jaundice results from obstruction to the flow of bile into the duodenum. The study was conducted to evaluate imaging findings in USG and MRCP in 46 cases of suspected biliary obstruction during November 2016 to October 2018. This cross sectional analytic study was conducted in Department of Radiodiagnosis, VIMSAR, BURLA. All patients were subjected to USG & MRCP. Results were compared and found MRCP superior to USG in diagnosis of obstructive jaundice.

The vermiform appendix is considered by most to be a vestigeal organ, its importance in surgery being only due to its propensity for imflammation that in a clinical syndrome called 'acute appendicitis'. Recently, it has been proposed that an elevated total bilirubin (TB) level could be used as a specific marker for the prediction of perforated appendicitis 7 . The rationale for this proposal is based on the hepatic congestion occurring during bacteria sepsis secondary to Gram negative bacteria. Our purpose of this study is to establish the correlation of total serum bilirubin with the appendiceal perforation in acute appendicitis and to compare the reliability of total bilirubin versus WBC count for suspected perforated appendicitis.