Abstract
A40-year-old man who had undergone appendectomy for acute appendicitis developed fecal fistula 11 days after operation. Conservative therapy failed, and colonoscopic clipping of the fecal fistula was performed 37 days after the initial operation. The fistula was successfully closed and the patient was discharged 16 days after clipping. Although enterocutaneous fistula after appendectomy is uncommon, some fistulas are intractable and often require reoperation. We suggest that the endoscopic approach is a good option for the treatment of intractable fistula that develops after appendectomy.