BACKGROUND: We present a case of a 27-year-old woman who was found to have an appendiceal ectopic pregnancy, a carcinoid tumour of the appendix and acute appendicitis existing concurrently. This triad of pathology has never been reported previously. CONCLUSIONS: This case highlights the importance of performing a pregnancy test in all women of childbearing age presenting with acute abdominal pain and also the need to consider other diagnoses that may mimic or present concurrently with acute appendicitis.
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