Appendico-cutaneous Fistula: An Unusual Presentation

Abstract

and adjacent viscera or skin is a rare complication of untreated acute appendicitis. But appendico-cutaneous fistula in the postoperative period after unrelated surgery is even more infrequent. Here we report a case of a young patient presenting as an appendico-cutaneous fistula with foul smelling purulent discharge from drain site after right uretrolithotomy. Retained foreign body like gauze is one of the possible reasons for persistent discharge post operatively. CT fistulogram may be helpful in diagnosis. An exploratory laparotomy is the gold standard and simultaneously it allows treatment. Appendicectomy with excision of fistulous tract cures this condition.