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Intrauterine pregnancy confirmed but not interrogated in detail. The gravid uterus displaces the caecal pole and appendix out of the right iliac fossa, and the caecal pole is tilted posteriorly. An acute inflammatory mass is present posteriorly, with oedema of the fat and free fluid throughout the right side of the abdomen. Appendicoliths are seen within the distended oedematous appendix. The appearances are consistent with acute appendicitis.