多年来对在腹部与盆腔手术的同时作选择性阑尾切除术问题发表了许多争论性的文章,近来Onuigbo报导在输卵管切除术或宫外孕手术时进行选择性阑尾切除术,然而宫外孕与急性阑尾炎的同时发生在文献中却很少讨论。本文报导2例右侧输卵管妊娠合并急性阑尾周围炎,认为宫外孕有引起阑尾炎反应的可能性。病例1,患者29岁,右下腹痛及阴道流血2周,末次正常月经在6周以前。过去内外科病史及一般检查均无特殊。盆腔检查发现在阴道内及宫颈口内有少量暗红色不凝固血液,子宫正常大小,盆腔右侧有触痛伴有宫颈举痛,在右侧附件处可扪及有压痛 Over the years many controversial articles have been published on selective appendectomy with abdominoplasty and pelvic surgery. Recently Onuigbo reported selective appendectomy during tubal resection or ectopic pregnancy, whereas ectopic and acute appendicitis It is rarely discussed in the literature. This article reports 2 cases of right tubal pregnancy with acute appendicitis, that ectopic pregnancy may cause the possibility of appendicitis. Case 1, patient 29 years old, right lower quadrant pain and vaginal bleeding for 2 weeks, the last normal menstruation in 6 weeks ago. In the past medical history and general examination are no special. Pelvic examination revealed a small amount of dark red blood in the vagina and the cervix without coagulation, the normal size of the uterus, right pelvic pain accompanied by cervical pain, palpable tenderness in the right attachment