Introduction
Acute appendicitis is the most common surgical emergency globally, with
an incidence of 1.17 per 1000. The lifetime risk of acute appendicitis
is 8.6% in men and 6.7% in women and its incidence is highest in
adolescents and young adults.(1) Although appendicitis is a common
condition, it remains a diagnostic challenge for surgeons, mainly in
pregnant women. Clinical diagnosis alone leads to a negative
appendectomy rate of 15 to 30%.(2, 3) Different scoring systems have
been developed for diagnosing acute appendicitis and the most commonly
used is Alvarado score.(4) We hereby present an unusual case of mega
appendix.