Background Acute appendicitis is defined as a sudden inflammation of vermiform appendix causing pain in right side of abdomen and may be associated with fever and vomiting. Appendicitis is always in the top three differential diagnosis of acute abdominal pain It’s most common and an emergency general surgical operation performed. It’s estimated that around 6-7% population will encounter in their lifetime. Previously appendix was considered as a vestigial organ with no known function. It is now well recognized that appendix is an immunologic organ that actively participates in the secretions of immunoglobulins particularly immunoglobulin A.In case of emergency it may be managed conservatively or by operative procedure as per the clinical presentation