Title: Pilonidal Sinus Presenting Off the Midline in Gluteal Region- A Case Report

Authors: Talib Hussain, Sanjay K Bhasin, Sanjay Sharma, Abhinav Mani

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.66

Abstract

Pilonidal disease is considered to be an acquired condition caused by hair invading the skin. Though it can affect many parts of body, such as hands, umbilicus, axillae and external genitalia, but most commonly it occurs in the gluteal cleft or sacrococcygeal region in the midline. Here we report a case of pilonidal sinus presenting off the midline in gluteal region.

Keywords:  Pilonidal disease, incision and drainage, cleft lift, limberg flap, karydakis flap.

References

  1. Bendewald FP, Cima RR: Pilonidal disease. Clin Colon Rectal Surg 20:86, 2007.
  2. Patey D, Scarff RW: The hair of the pilonidal sinus. Lancet 268:772, 1955.
  3. Bascom J,: Pilonidal disease: origin from follicles of hair and results of follicle removal as treatment. Surgery 87:567, 1980.
  4. Davis KA, Mock CN, Versaci A, et al: Malignant degeneration of pilonidal cysts. Am Surg 60:200, 1994.
  5. Odili J, Gault D: Laser depilation of the natal cleft-an aid to healing the pilonidal sinus. Ann R Coll Surg Engl 84:29, 2002.
  6. Dogru O, Camci C, Aygen E, et al: Pilonidal sinus treated with crystallized phenol: An eight year experience. Dis Colon Rectum 47:1934, 2004.
  7. Karakayali F, Karagulle E, Karabulut Z, et al: Unroofing and marsupialization versus rhomboid excision and limberg flap in pilonidal disease: A prospective, randomized, clinical trial. Dis Colon Rectum 52:496, 2009.
  8. Velasco AL, Dunlap WW: Pilonidal disease and hidradenitis. Surg Clin N Am 9:689, 2009.
  9. Daphan C, Tekelioglu MH, Syilgan C, et al: Limberg flap repair for pilonidal sinus disease. Dis Colon Rectum 47:233, 2004.
  10. Can MF, Sevinc MM, Yilmaz N: Comparison of karydakis flap reconstruction versus primary midline closure in sacrococcygeal pilonidal disease: Results of 200 military service members. Surg Today 39:580, 2009.
  11. Senapati A, Cripps NP, Flashman K, et al: Cleft closure for the treatment of pilonidal sinus disease. Colorectal Dis 13:333, 2011.
  12. Tezel E, Bostanci H, Anadol AZ, et al. Cleft lift procedure for sacrococcygeal pilonidal disease. Dis Colon Rectum 52:135, 2009.

Corresponding Author

Talib Hussain

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