Evisceration of appendix via drain site - a rare complication in a child

INTRODUCTION AND IMPORTANCE: Abdominal drains prevent fluid accumulation and help drain fluid (blood, pus). In recent years, abdominal drains have been used less frequently due to drain-associated complications, like infections, anastomotic leakage, and the potential for the evisceration of intra-abdominal organs on drain removal. CASE PRESENTATION: We present a young female with evisceration of the appendix via the drain site, successfully managed by abdominal exploration and appendectomy. CASE DISCUSSION: The use of prophylactic abdominal drain is controversial and is of limited use even in complicated appendicitis in the modern era of antibiotics. If a drain is inserted, it should be removed at the earliest to avoid associated complications. CONCLUSION: Abdominal drain usage should be minimized in children to avoid post-operative complications.