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 ... Learn about the four stages of appendicitis , from simple inflammation to perforation, and how to recognize the signs and seek help. Find out the causes, complications, and treatments of this common abdominal condition. Appendicitis is defined as an inflammation of the inner lining of the vermiform appendix that spreads to its other parts. Despite diagnostic and therapeutic advancement in medicine, appendicitis remains a clinical emergency and is one of the more common causes of acute abdominal pain. See the image below. Appendicitis is acute inflammation of the vermiform appendix, typically resulting in abdominal pain, anorexia, and abdominal tenderness. Diagnosis is clinical, often supplemented by CT or ultrasound. Treatment is surgical removal of the appendix.