Background: The simultaneous occurrence of appendicitis and ectopic pregnancy is very rare. It is still not clear whether they are having a common etiology in background or the reported cases have been a mere coincidence. Case: We present a case in which the patient had simultaneous right tubal chronic ectopic pregnancy with appendicitis that was managed successfully by laparoscopic route. Conclusion: Although the combination of ectopic pregnancy and appendicitis is quite rare, it is advisable to rule out concurrent appendicitis in patients of ectopic pregnancy, especially if it is on the right side due to a possible inter-etiological relationship. ( J GYNECOL SURG 31:292)