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It is generally accepted that normal appendix does not exceed 6 mm in maximal outer diameter (MOD), which is the most important diagnostic criterion to exclude acute appendicitis. However, the MOD may be exaggerated by the presence of intraluminal materials such as gas, feces and non-inflamed fluid.
It is generally accepted that normal appendix does not exceed 6 mm in maximal outer diameter (MOD), which is the most important diagnostic criterion to exclude acute appendicitis.
Previous literature has described that in up to 45% of patients, the normal appendix measures greater than 6 mm in outer wall-to wall diameter at CT[15,16]. In our study 48% patients had outer diameter greater than 6 mm. The range of outer diameter thickness of normal appendix in our study was 3.0-11 mm.
The human appendix averages 9 cm (3.5 in) in length, ranging from 5 to 35 cm (2.0 to 13.8 in). The diameter of the appendix is 6 mm (0.24 in), and more than 6 mm (0.24 in) is considered a thickened or inflamed appendix.
The attachment of the base of the appendix to the caecum remains constant, whereas the tip can be found in a para-colic/para-caecal (11 oclock), retrocaecal (12 oclock), splenic (2 oclock) position, promontoric (3 oclock), pelvic (4 oclock), midinguinal/subcaecal (6 oclock) position, pre-ileal and post-ileal
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A normal appendix with air or contrast material distension is reported to have a transverse diameter of up to 11 mm [33], [34], [38]. In this study, more than 42% of patients had an appendiceal diameter greater than 6 mm [4].
These criteria encompass an enlarged appendix with an outer diameter of 6 mm to 8 or 9 mm, thickening of the appendiceal wall measuring 2 mm to 3 mm, periappendiceal stranding, enhancement of the appendiceal wall, the presence of inflamed soft tissue at the appendiceal base separating the appendix from the cecum,

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