PT - JOURNAL ARTICLE AU - Cohen, Ryan AU - McKean, Katie AU - Chetrit, Stephanie TI - Enterocutaneous fistula resulting from the drainage of a contained appendiceal perforation secondary to a partially obstructing low-grade appendiceal mucinous neoplasm AID - 10.1136/bcr-2021-244546 DP - 2021 Aug 01 TA - BMJ Case Reports PG - e244546 VI - 14 IP - 8 4099 - http://casereports.bmj.com/content/14/8/e244546.short 4100 - http://casereports.bmj.com/content/14/8/e244546.full SO - BMJ Case Reports2021 Aug 01; 14 AB - We report a case of an enterocutaneous fistula resulting from drainage of a contained appendiceal perforation secondary to an obstructing appendiceal mucinous neoplasm. A 66-year-old otherwise healthy female patient proceeded to laparoscopic appendicectomy with resection of the fistula tract. Histopathology demonstrated a mid-appendiceal mucinous neoplasm, with a benign enterocutaneous fistula tract communicating with the distal, non-malignant portion of the appendix. We provide an overview of the literature and highlight the need to consider appendiceal mucinous neoplasm as a differential in the management of spontaneous right iliac fossa collections and fistulae.