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The appendix was evaluated in its entire length. It is in the right iliac fossa. The length of the appendix was about 90 mm. The proximal about 40 mm length of the appendix shows normal diameter (< 6 mm), compressibility. The distal part of the appendix shows dilatation (diameter > 6 mm), non-compressibility, increased vascularity, intact non-distended lumen with preserve gut signature sign. There is no fecolith at the site of transition from dilated to a normal appendix. There is periappendiceal fat inflammation around the distal appendix. The caecum and terminal ileum were normal.