It is not easy to diagnose acute appendicitis. Symptoms of acute appendicitis such as pain, fever, nausea, & vomiting can vary and can be similar to the symptoms of many other acute abdominal disorders (kidney stone, gallstone, cholecystitis, ovarian inflammation, rupture of ovarian cyst, mesenterial lymphadenitis, enteritis etc.). Theoretically, acute appendicitis does not require surgical treatment if the inflammation affects only the mucosal layer of the appendix wall (catarrhal appendicitis). Surgical removal of the appendix is requested if the entire appendix wall is affected (gangrenous appendicitis) and the peritoneum is also affected (local peritonitis). Catarrhal appendicitis can either pass spontaneously or can get worse to become gangrenous appendicitis. Gangrenous appendicitis is a serious, life threatening condition and requires urgent surgical intervention. If your daughter experienced acute appendicitis she probably also experienced catarrhal appendicitis that passed spontaneously. It is not necessary to bring her to the doctor if she is not experiencing any symptoms.