The typical history for appendicitis is a central abdominal, colicky (intermittent waxing and waning) pain, which over a period of hours localizes to become a constant pain in the right iliac fossa. The central colicky pain is typical for a poorly localized visceral type of pain. As the parietal peritoneum becomes inflamed, the pain becomes localized. Although this patient does have right iliac fossa pain, the history is not typical for appendicitis (although it must be remembered that patients may not always have a classical history for appendicitis).