Patients with appendicitis presenting with paroxysmal pain are considered to have an obstructed appendiceal fecal stone, which presents with retroperistalsis of the appendix and induces local intestinal spasm. In simple appendicitis, if the patient’s symptoms are not severe, a conservative approach can be taken, but the patient should be closely monitored for signs and symptoms. If the paroxysmal pain is gradually increasing, accompanied by nausea, vomiting and fever, and if the blood count is significantly higher, the inflammation of the appendix is progressing, and in severe cases it may become septic. The most effective treatment is to remove the appendix by caesarean section.