Appendicitis during pregnancy

We report the case of a 26-year-old gravid patient with acute appendicitis at 24 weeks gestation. Emergency appendectomy was performed with no post-operative sequelae to the mother or to the fetus. The patient delivered a viable infant vaginally at term. Alteration in the gravid patient of the classic signs and symptoms of acute appendicitis is detailed. Complications of delay in diagnosis and of negative laparotomy are discussed.