Abstract
Acute appendicitis is one of the most common condition requiring intraabdominal surgery. The complications following perforation include abscess formation, fistula formation and bowel obstruction. Reviewing literatures in English, various form of fistula connecting between appendix or cecum to umbilicus^1, urinary bladder^2, ovary^3 and femoral hernia sac^4 were reported. We report a 46 year-old male presented with a right flank necrotizing fasciitis without any gastroenterological symptom for about one week and turned out to be originated from perforated appendicitis. After series debridment, the wound was covered with skin graft and eventually healed. The patient was recorvered completely without any intra-abdominal procedure or bowel resection procedure.
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