Abdominal pain of longer duration is associated with poor quality of life and signicant level of depressive symptoms. Chronic right iliac fossa pain with normal radiological and laboratory ndings is common indication for diagnostic laparoscopy by general surgeon. In case of diagnostic uncertainty, laparoscopy may help to avoid unnecessary laparotomy and provide accurate diagnosis. Diagnostic laparoscopy is a minimally invasive method for the diagnosis of intra-abdominal diseases through direct inspection of intra-abdominal organs. Diagnostic laparoscopy also allows tissue biopsy, culture acquisition, and a variety of therapeutic interventions. Laparoscopic ultrasonography can also be performed during diagnostic laparoscopy to evaluate organs that are not amenable to direct visual inspection