Pilonidal sinus

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Intergluteal region pain and discharge.

Patient Data

Age: 20 years
Gender: Male
mri

Fluid-filled tubular, midline sinus tract in the subcutaneous sacrococcygeal region, measuring approximately 1.9 cm in AP diameter, 0.9 cm in TR diameter, and 4.3 cm in CC diameter.

No extension to the pelvis.

The rest of the soft tissues are normal.

No abnormality is noted in the ischiorectal fossa on either side.

Case Discussion

The features are consistent with pilonidal sinus.

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