Abstract
Chronic and acute recurrent appendicitis are often underrecognized in clinical practice, particularly in patients presenting with persistent or recurrent right lower quadrant abdominal pain. It is essential to obtain a detailed and comprehensive history from the patient, as careful questioning often reveals a history of prior attacks. Diagnosing recurrent and chronic appendicitis remains challenging, necessitating thorough history-taking, awareness of varied clinical presentations, and physical examination integrating specific maneuvers. Maintaining a high index of clinical suspicion is essential for recognizing these atypical presentations. Confirming a high pretest probability prior to surgical intervention is crucial to avoid unnecessary procedures.