Interdigital pilonidal sinus, report of two cases

Yalcin, Dogus; Tekin, Burak; Saçak, Bülent; Ayranci, Gulcicek; Erbarut, İpek

doi:10.4103/0974-7753.179386

Cited by 9 publications

(4 citation statements)

References 4 publications

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“… 1 It is also reported to occur in the umbilicus and the interdigital spaces. 2 , 3 The incidence reaches to 26/100,000 person with 3:1 male predominance. 4 It can be presented as an acute inflammation with a collection of pus, or a chronic sinus that is chronically draining pus.…”

mentioning

confidence: 99%

The risk of recurrence of Pilonidal disease after surgical management

Almajid

Alabdrabalnabi

Al-Mulhim

2017

SMJ

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Objectives:To estimate the rate of the Pilonidal disease (PND) recurrence and to evaluate the associated predictors of the recurrence.Methods:This is a retrospective study, conducted at King Fahd Hospital of the University in Alkhobar, Kingdom of Saudi Arabia over a period of 10 years from January 2003 until December 2013.Results:A study of 366 with PND, 19 of those were identified as secondary cases and excluded. Most involved 347 patients were Saudi (82.1%), single (87%), and men (93.1%). The mean age of the sample was 23 ± 8 years, and the mean body mass index (BMI) was 29.7 ± 6 Kg/m2. Overall recurrence rate after the surgical management was found in 25 patients (7.2%). By logistic regression to the recurrence group, young age group, prolong sitting and BMI may increase the likelihood of the disease recurrence.Conclusion:Pilonidal disease still has challenges in its management. Treatment should depend on the extent and severity of the disease. The recurrence rate in this study is approximately 7.2%. The most predominate factors associated with recurrence were prolong sitting job, young age group, and high BMI.

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confidence: 99%

The risk of recurrence of Pilonidal disease after surgical management

Almajid

Alabdrabalnabi

Al-Mulhim

2017

SMJ

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“…Pilonidal sinus is typically encountered in the sacrococcygeal region, but rare cases have been described at other unusual sites in around 2.2% cases [ 6 ], notably the axilla [ 7 , 8 ], suprapubic area [ 9 ], periumbilical zone [ 10 – 13 ], inguinal region [ 8 , 11 ], neck [ 8 , 11 ], periungal region [ 14 ], clitoris [ 15 ], penis [ 8 , 16 – 18 ], nipple [ 11 , 19 , 20 ], intermammary region [ 11 , 12 ], interdigital space of foot and hand [ 2 , 21 – 24 ], scalp [ 8 , 11 ], scrotum [ 25 ], endoanal canal [ 26 , 27 ] and the face. The first reported case of extrasacrococcygeal pilonidal sinus (ESPS) was located in the interdigital region and reported in 1942 [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Pilonidal sinus of the cheek: an extremely rare clinical entity—case report and brief review of the literature

2021

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Background Pilonidal sinus is commonly seen at the sacrococcygeal region and few other sites, usually located at the midline, at areas where hairs collect or near protuberances or some adjacent rubbing surfaces. Its presence elsewhere is uncommon. We share an interesting case of a recurrent discharging sinus from the cheek bulge of a male which turned out to be a pilonidal sinus containing tuft of hairs on exploration and wide excision. Case presentation A 37 years old hirsute male presents to us with a non-healing discharging sinus at the bulge of the cheek. Exploration after a course of antibiotics showed 2 subcutaneous cavities with tuft of hairs. The area was excised along with a margin, thorough irrigation and curettage was done and the wound was closed primarily; a Z-plasty was incorporated in the central part to break the resultant suture line. Histopathological examination was done to confirm the diagnosis and rule out an off-midline dermoid cyst or an underlying/coexisting malignancy. Post-operative course was uneventful. The patient has been recurrence free for 1.5 years and is satisfied with the nature of the scar. Conclusions Pilonidal sinus of the cheek bulge is an extremely rare entity. Complete excision and clinical suspicion are important for cure of this nagging ailment, especially at unexpected areas.

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“…This is typically associated with a cutaneous sinus, which may or may not be actively discharging (pilonidal sinus)21 and may be associated with soft tissue infection such as acute cellulitis 22. Hair implantation is also a known problem in barbers,23 hairdressers,24 sheep shearers25–27 and historically in farm workers who milk cows by hand 28. The patient in our case report did not provide a history of having had any open wounds but did report a previous history of abscess in the same digit and multiple occasions where animal hair did become embedded in his fingers during work and did not wear gloves during the grooming process.…”

Section: Differential Diagnosismentioning

confidence: 99%

Unusual ultrasound diagnosis of hair implantation osteomyelitis of the thumb

Katsura¹,

Chuo²

2022

BMJ Case Rep

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Osteomyelitis is a challenging condition to diagnose and successfully treat. A clinician diagnosing osteomyelitis is reliant on relevant aspects of clinical history, inflammatory markers and radiological imaging such as X-rays, CT and contrast MRI. The confirmation of the presurgical diagnosis is made from microbiological analysis of the bone biopsy and/or histological analysis for features of inflammatory changes. An ultrasound scan is generally thought to have less value in osteomyelitis diagnosis due to its inability to interrogate bone. However, this investigation can be helpful in detecting the site and size of soft tissue collections secondary to osteomyelitis and the presence of any associated foreign bodies. We present a case where an ultrasound scan played a key role in supporting the diagnosis of osteomyelitis of the thumb in a dog groomer. This is the first reported case of hair implantation osteomyelitis presenting without a cutaneous sinus.

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Interdigital pilonidal sinus, report of two cases

Cited by 9 publications

References 4 publications

The risk of recurrence of Pilonidal disease after surgical management

The risk of recurrence of Pilonidal disease after surgical management

Pilonidal sinus of the cheek: an extremely rare clinical entity—case report and brief review of the literature

Unusual ultrasound diagnosis of hair implantation osteomyelitis of the thumb

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