CT shows that the appendix has fecal stone whether the need for surgery and the patient’s own specific circumstances, if the fecal stone is very small, and did not produce abdominal pain and other uncomfortable symptoms, can be temporarily observed, do not have to rush to the surgical treatment; but if the fecal stone is large, and short-term appendicitis caused by recurrent episodes, the general recommendation for timely surgical treatment. Appendiceal fecal stone refers to the formation of fecal hard stone in the appendiceal cavity, if the fecal stone is small in size and does not cause obvious inflammatory reaction, it can be temporarily observed or conservative treatment; if the fecal stone is large, causing obvious pressure on the appendiceal lumen, or obstruction of the appendiceal lumen, resulting in appendiceal swelling and pus accumulation, then it is recommended that surgery be carried out in a timely manner. CT shows that there are fecaliths in the appendix, it is recommended to combine with their own specific conditions by a professional physician to determine the need for surgery, and follow the doctor’s instructions.