This is a case of acute appendicitis with inflammatory changes extending to the right ovary. The right ovary inflammation is most likely reactive in nature due to its close proximity to the inflamed appendix. There is also an extensive thrombus within the right gonadal vein; potentially related to the inflammation of the right ovary.

Patient underwent an uncomplicated laparoscopic appendectomy. Histology report confirms the diagnosis of acute suppurative appendicitis.