Introduction: The clinical symptomatology of SARS-CoV-2 disease may manifest as an appendicular syndrome . The abdominal CT scan can be used to rule out or confirm the diagnosis of acute appendicitis and a chest CT scan can make the diagnosis of SARS-CoV-2 infection . Observation: We report the observation of a 30-year-old patient, with no particular pathological history, who presented with appendicular syndrome without extra-digestive signs, and especially, without respiratory syndrome . The CRP was at 35mg/l . A thoracoabdominal CT scan was requested to detect an eventual appendicitis . With three straight frosted glass areas on the thoracic area suggesting COVID 19 infectious pneumopathy, a PCR was requested to detect a positive SARS-CoV-2 viral RNA, then the patient was appendectomized . Post-operative follow-up was simple and the patient was transferred to a department dedicated to covid-19-positive patients for further management . Conclusion: CT scan is necessary before considering emergency surgery for acute appendicitis because it can change the patient's management circuit.