<p>Acute appendicitis is one of the most common surgical emergencies. The clinical diagnosis augmented with the laboratory and radiology reports qualifies the patient for appendectomy. Mistreated patients in emergency, during the acute episode, sometimes present with a mass in the right iliac fossa with adhesions of the omentum and associated peritonitis. Appendico-cutaneous fistula is an uncommon presentation of appendicitis. It may present as a sinus with discharge. We report a case of a young female who presented with appendicocutaneous fistula.</p>

Background: Quality of life is defined as individual perception of well-being, within one's socio-cultural context or the satisfactory fulfilment of desires and pleasures that would lead to the accomplishments of their perception. This study was carried out to determine the level of such satisfaction among medical students. Participants and Methods: In this crosssectional study, one hundred twenty-five students were invited to participate in the study being chosen through stratified random sampling. Twenty-five students from each the five classes of Gujranwala Medical School, Gujranwala, Pakistan, were invited. One hundred students completed the proforma containing WHOQOL-BREF questionnaire and sociodemographic characteristics. Results: According to the perception and response of the students, only one percent students had a very poor quality of life. 57% students were of the view that they have a good quality of life and 29% have answered the questionnaire indicating a very good quality of life in all four domains of WHOQOL-BREF. There was no significant effect of gender, year of study and living with family status on quality of life. Conclusion: This study demonstrates that the majority of the medical students have a good quality of life while a negligible number of them have a poor or very poor quality of life. Students are especially more satisfied with their physical health when compared with other domains of life and as usually observed, majority of them rarely have feelings of anxiety, depression and despair.