Pilonidal sinus (intergluteal)

Case contributed by Maulik S Patel
Diagnosis probable

Presentation

Discharing sinus at upper end of natal cleft for one month.

Patient Data

Age: about 18 yrs
Gender: Male
ultrasound

A non-branching single tract is noted from skin opening. It extends in mid line in caudal direction for about 5 cm length. Linear echogenic foci are noted in tract - Hair follicles.

No abscess surrounding tract is noted.

A non-thrombosed subcutaneous vein is seen abutting deeper surface of tract. 

Case Discussion

Findings favor pilonidal sinus.

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