
Appendicitis is the most common cause of acute abdomen in emergency department. The etiology of acute appendicitis is still debatable. There have been few advancements in the past few decades. Diagnosis a patient suffering from acute appendicitis with is important for management of patient. Any patient presenting with an acute abdomen differential diagnosis of acute appendicitis is always there. Many methods in abdominal examination and scoring systems have been described in literature for evaluating a case of appendicitis. Even though appendectomy has been the mainstay treatment for appendicitis, antibiotics have also been gaining popularity in the present case scenario. We discuss existing knowledge and evolving strategies in management of patients with acute appendicitis.