Acute appendicitis is one of the most common causes of abdominal pain requiring emergency surgery. The appendix is located near the cecum but can be in retrocecal or pelvic positions, complicating diagnosis. Obstruction of the appendix is a key factor in pathogenesis as it leads to ischemia, necrosis, and inflammation. Classic symptoms include migrating pain starting around the umbilicus and later localized to the right lower quadrant, along with anorexia, fever, nausea, and vomiting. Physical exam may reveal tenderness at McBurney's point or other signs depending on appendix position. Laboratory tests typically show leukocytosis. Imaging like CT, ultrasound, or MRI can help in diagnosis by identifying an enlarged or fluid-