Pilonidal sinus

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Discharge and pain in the gluteal region.

Patient Data

Age: 30 years
Gender: Male
mri
  • sinus tract in the intergluteal region in subcutaneous fat plane
  • external opening is seen just to the right of the mid-line at the level of the fifth sacral vertebrae
  • the tract traverses anteriorly and inferiorly and ends blindly at the level of the third coccygeal segment
  • no obvious osteitis in the sacrococcygeal region

Case Discussion

Pilonidal sinus tract in the intergluteal region in the subcutaneous fat plane with an external opening just to the right of midline and ending blindly at the level of the third coccygeal segment.

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