Umbilical drainage in a newborn in the form of gas or intestinal contents is concerning for patency of the omphalomesentric duct (POMD) or gastrointestinal fistulas. A three-day old female presented with feculent umbilical drainage caused by a Y-shaped appendix with fusion of one limb to the umbilicus. This appendicoumbilical fistula was repaired via transumbilical excision. To the best of our knowledge, this is the first report of an appendicoumbilical fistula involving a bifid appendix.