“…We found that only 1.25% of patients underwent incidental appendectomy, with a higher prev-alence in women, the ovarian cyst being the predominant etiology 10 . Thus, in women with acute abdomen, ultrasound is important for the differential diagnosis of diseases of the female genital system 9,10 . Furthermore, due to the appendix topography, infections of the upper genital tract can lead to "reactive periapendicites", whose main cause is pelvic inflammatory disease (PID) 10 .…”