Umbilical Pilonidal Sinus

Al-Kadi, Azzam

doi:10.12816/0023983

Cited by 5 publications

(1 citation statement)

References 9 publications

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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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