Acute appendicitis in puerperium is often diagnosed too late, because
clinical signs can be unrelaible. Abdominal wall rigidity is rarely noticed
in puerpeium because of weak abdominal wall muscles, laboratory parameters
are not enough relaible and atipycal appendix presentation makes difficulties
in diagnosis3,4. Knowing clinical signs and symptoms of appendicitis,
possible complications and their early detection, make a chance for a good
surgical outcome. Measuring of axillar and rectal temperature can take
confusion in, and prolong time until surgical treatment. Leucocytosis in
puerperium is not valid for diagnosis. We report a case of patient in
puerperium with high laboratory infection parameters. Diagnosis of
appendicitis is made based on clinical signs and symptoms, that is proved
intraoperatively and histologicaly. Appendectomy without perforation carries
less risks for mother and fetus.