Introduction: Appendicular agenesis is a rare condition that accounts for 1 of every 100,000 exploratory laparotomies, usually in clinical suspicion of appendiceal inflammatory processes with higher incidence in adults.
Clinical Findings: We present a case of a 19-year-old female with appendicular agenesis who underwent exploratory laparoscopy in the context of appendiceal inflammatory process.
Conclusion: Vermiform appendix agenesis is a challenging diagnosis made in most cases as an intraoperatively finding.