Ultrasound is able to detect appendicitis, which appears on ultrasound as an enlarged or thick appendix with either exudate or abscess formation around the appendix. Generally, appendiceal examination can be used as an adjunct to appendicitis, however, it should be emphasized that appendiceal examination is not mandatory in the diagnosis of acute appendicitis, although it can be applied optionally if the diagnosis is not certain. The clinical diagnosis of acute appendicitis relies on the patient’s history, clinical symptoms, physical examination and laboratory tests. Appendicitis can basically be concluded if the patient presents with metastatic right lower abdominal pain with gastrointestinal symptoms such as nausea, vomiting, anorexia, and systemic symptoms such as early weakness, increased heart rate, and fever. Early surgical removal of appendicitis is recommended to avoid delaying the disease and affecting the patient’s prognosis.