# Spontaneous appendicocutaneous fistula in a child: a case report

## TL;DR

A child developed a rare complication of appendicitis where the appendix formed a fistula to the skin, which was successfully treated with surgery.

## Contribution

This case report highlights the rare occurrence of spontaneous appendicocutaneous fistula in a pediatric patient.

## Key findings

- A 6-year-old boy had a persistent feculent discharge from the right flank due to an inadequately treated appendicitis.
- Fistulography confirmed communication with the cecum, leading to appendectomy and full recovery.

## Abstract

Spontaneous appendicocutaneous fistula is an extremely uncommon complication of acute appendicitis. We report a 6-year-old boy who developed a persistent feculent discharge from the right flank over the last 2 years after an inadequately treated case of appendicitis. Communication with the cecum was confirmed by diagnostic evaluation with fistulography. Appendectomy with complete excision of the fistulous tract resulted in full recovery.