The most common surgical emergency encountered during pregnancy is acute appendicitis [1]. The diagnosis of acute appendicitis during pregnancy is often challenging mainly because of physiological and anatomical changes during pregnancy. From a therapeutic point of view, the approach depends on the gestational age and the evolutionary stage of the appendicitis. The maternal-fetal prognosis depends on the severity of the condition and the delay in treatment. Appendectomy should be performed in patients presenting a highly suggestive clinical and ultrasonographic picture, preferably by laparoscopy in order to avoid more severe complications which could be life-threatening for the mother or infant.