Highlights & Basics
- Acute appendicitis typically presents as acute abdominal pain starting in the mid-abdomen and later localizing to the right lower quadrant.
- Associated with fever, anorexia, nausea, vomiting, and elevation of the neutrophil count.
- Diagnosis is usually made clinically. If investigation is required, computed tomography scan or ultrasonography may show dilatation of the appendix outer diameter to more than 6 mm.
- Definitive treatment is surgical appendectomy. A nonoperative, antibiotic-only approach may be feasible in select patient populations.
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