Abstract
Acute appendicitis (AA) is one of the most common causes of lower abdominal pain and requires prompt and accurate diagnosis to prevent complications. However, its clinical presentation and radiologic findings can vary widely, and the condition may be mimicked by other intra-abdominal pathologies. This case series illustrates the diverse presentations of acute appendicitis, emphasizing the variability in imaging findings, and highlights epiploic appendagitis as a rare but important differential diagnosis. The series underscores the critical role of advanced imaging, particularly contrast-enhanced CT, in ensuring accurate diagnosis and appropriate management.