Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking.To determine the sensitivity and specificity of sonography in diagnosing acute appendicitis in patients with abdominal pain. All reports relating to appendicitis wereretrospectively obtained from archived reports of our department and it is correlatedwith the histopathology reports. the accurate diagnosis of position of appendix & appendicitis is a combination of all the modalities andnot just dependent on one basis in order to prevent post appendicectomy complications and symptoms. The sensitivity, specificity, accuracy, positive and negative predicative values of sonography are comparable to statistics quoted in the literature. The most common error was the tendency to misclassify appendixes < 6 mm.ddd |