Acute appendicitis is a leading cause of acute abdominal pain in emergency departments, with a lifetime risk of 7 % to 8 % [1]. Although antibiotic therapy presents a non-operative treatment option, surgery remains the standard of care. Indeed, up to 40 % of patients managed with antibiotics eventually require appendectomy within 5 years [2,3]. Consequently, accurate diagnosis and severity assessment are crucial for guiding treatment selection, optimizing surgical timing, and evaluating complica…