Appendicular abscess is a complication from perforation of the appendix, and it is seen in 10% of cases of acute appendicitis. It is diagnosed by clinical examination, the presence of leukocytosis and imaging modalities like ultrasound or computerized tomography. The treatment is usually conservative with intra-venous fluids, antibiotics and percutaneous drainage of the abscess. The introduction of laparoscopic surgery has seen a move towards immediate appendectomy. Interval appendectomy is no longer a routine and is only performed for patients who present with recurrent symptoms. We have conducted this narrative review article to look at the various management options for appendicular abscess.