Laparoscopic appendicectomy in mid trimester

Appendicectomy is the commonest non obstetric indication for surgical intervention during gestation. Laparoscopic approach is proven to be superior to open surgery in gravid patients with suspected appendicitis. It excludes other pathologies that can mimic appendicitis and entail pregnancy risks and remove the inflamed appendix at the same setting which is therapeutic. We report a case of acute appendicitis presented at 19 weeks of gestation treated by laparoscopy. Laparoscopy is safe and feasible throughout gestation and has other advantages like improved post-operative morbidity and better cosmetic outcome.