{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T02:50:20Z","timestamp":1784775020574,"version":"3.55.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The formation of an appendico-cutaneous fistula is rare. Few case reports have been published; most describe the formation of a fistula after appendicitis. Here we describe the case of a 79-year-old woman presenting with an appendico-cutaneous fistula after groin hernia repair. She was referred to our outpatient department with a painful mass in the right groin. An ultrasound showed a fluid containing mass. Incision and drainage was performed. After 9\u2005weeks she was referred again with a persisting open wound. Fistulogram and CT scan showed a fistuleous tract involving the appendix. Wound culture showed<jats:italic>Escherichia coli<\/jats:italic>. Diagnostic laparoscopy showed an appendix stuck to the ventral wall of the abdomen without any sign of previous infection. After an appendectomy, pathological investigation revealed an appendix sana. After operation, the fistula persisted due to a polypropylene plug from the previous groin hernia correction. The (infected) plug was removed and the fistula healed.<\/jats:p>","DOI":"10.1136\/bcr-2013-009801","type":"journal-article","created":{"date-parts":[[2013,8,6]],"date-time":"2013-08-06T12:18:59Z","timestamp":1375791539000},"page":"bcr2013009801","source":"Crossref","is-referenced-by-count":3,"title":["Appendico-cutaneous fistula 20\u2005years after groin hernia repair with a polypropylene plug"],"prefix":"10.1136","volume":"2013","author":[{"given":"Olivier","family":"Wijers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Conijn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Wiese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Sjer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,8,6]]},"reference":[{"key":"2025042709000925000_2013.aug06_1.bcr2013009801.1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/BF02962331","article-title":"Spontaneous appendicocutaneous fistula: case report and literature review","volume":"2013","author":"Nanni","year":"1981","journal-title":"Dis Colon Rectum"},{"key":"2025042709000925000_2013.aug06_1.bcr2013009801.2","first-page":"782","article-title":"Appendicular fistula: unusual presentations","volume":"2013","author":"Mohanty","year":"2012","journal-title":"IJ.ABR"},{"key":"2025042709000925000_2013.aug06_1.bcr2013009801.3","doi-asserted-by":"crossref","first-page":"e97","DOI":"10.1016\/j.ijsu.2007.04.018","article-title":"Spontaneous appendico-cutaneous fistula, after drainage of a right loin abscess: a case report","volume":"2013","author":"Chowdhury","year":"2008","journal-title":"Int J Surg"},{"key":"2025042709000925000_2013.aug06_1.bcr2013009801.4","first-page":"48","article-title":"Spontaneous appendico-cutaneous fistula: a rare complication of acute appendicitis","volume":"2013","author":"Deorah","year":"2005","journal-title":"Trop Gastroenterol"},{"key":"2025042709000925000_2013.aug06_1.bcr2013009801.5","first-page":"530","article-title":"Spontaneous appendicocutaneous fistula: report of a case and review of the literature","volume":"2013","author":"Skaane","year":"1981","journal-title":"Dis Colon Rectum"},{"key":"2025042709000925000_2013.aug06_1.bcr2013009801.6","first-page":"123","article-title":"Appendico-cutaneous fistula. A case report","volume":"2013","author":"Hedner","year":"1978","journal-title":"Acta Chir Scand"},{"key":"2025042709000925000_2013.aug06_1.bcr2013009801.7","first-page":"48","article-title":"Spontaneous appendico-cutaneous fistula. A case report","volume":"2013","author":"Tokode","year":"2004","journal-title":"Ann Ibadan Postgrad Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009801","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:00:19Z","timestamp":1745769619000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009801"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,6]]},"references-count":7,"alternative-id":["10.1136\/bcr-2013-009801"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009801","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,6]]}}}