Rogers Tim N, Joseph Craig, Bowley Douglas M G, Pitcher Graeme J
Division of Paediatric Surgery, Johannesburg Hospital, University of the Witwatersrand, Johannesburg, South Africa.
Pediatr Surg Int. 2004 Feb;20(2):151-2. doi: 10.1007/s00383-003-1109-z. Epub 2004 Feb 18.
Appendico-cutaneous fistulae are rare. We describe a 12-year-old girl with cystic fibrosis (CF) and a chronically draining sinus in the right iliac fossa, found to be a primary appendico-cutaneous fistula. Misdiagnosis of right iliac fossa pain in patients with CF and the preponderance of complicated disease frequently lead to manifestations of appendicitis rarely seen in usual clinical practice.