The vermiform appendix, a lymphoid tube, resides approximately 2 centimeters below the junction where the small intestine meets the large intestine (ileocecal junction) on the cecum. Variations in the appendix's anatomical location result from distinct growth patterns of the cecum during developmental stages. A 53 year old man presented at pacific institute of medical sciences emergency department on September 2023. With pain in periumbilical region. Physical examination revealed mild tenderness in right lower abdomen. CBC report was normal but WBC count raised which is 16500/cumm.