Appendicitis in pregnancy is correlated with high morbidity especially for the child. However, the diagnosis is difficult to determine due to subtle signs. This is a case report of a pregnant woman who despite being past due date and having progressive abdominal pain was sent home twice before arriving by ambulance severely affected by a perforated appendix. Abdominal pain and urine leukocytosis were the only early indicators. Foetal asphyxia led to caesarian section disclosing the diagnosis. When pregnant women without signs of ongoing birth have emerging abdominal pains, appendicitis should be considered.