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An unusual type of pilonidal sinus

Report of a case

  • Published:
Diseases of the Colon & Rectum

Summary and Conclusions

Pilonidal sinuses are common and problems of these infected sinuses are well known. Rarely does one encounter pilonidal disease that deviates from the usual.

Observations on the presentation and the pathogenesis of pilonidal sinuses have been discussed. Unusual and rare sites of pilonidal sinuses have been reported.

An unusual infected pilonidal sinus, with multiple perineal openings into a fistulous tract which extended laterally to the anus and to the anterior perineum, has been described. The tract contained many strands of black hair.

Problems of differential diagnosis, treatment and proper postoperative care have been discussed.

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References

  1. Aird, I.: Pilonidal sinus of the axilla. Brit. M. J.1: 902, 1952.

    PubMed  CAS  Google Scholar 

  2. Anderson, A. W.: Hair extracted from an ulcer. Boston M. & S. J.36: 74, 1847.

    Google Scholar 

  3. Bland-Sutton, Sir John: Tumours Innocent and Malignant: Their Clinical Characters and Appropriate Treatment. Ed. 7, London, Cassell & Co., Ltd., 1922, 806 pp.

    Google Scholar 

  4. Brearley, R.: Pilonidal sinus: A new theory of origin. Brit. J. Surg.43: 62, 1955.

    Article  PubMed  CAS  Google Scholar 

  5. Crosby, D. L.: Pilonidal sinus of the suprapublic region. Brit. J. Surg.49: 457, 1962.

    Article  PubMed  CAS  Google Scholar 

  6. Fox, S. L.: The origin of pilonidal sinus: With an analysis of its comparative anatomy and histogenesis. Surg., Gynec. & Obst.60: 137, 1935.

    Google Scholar 

  7. Franckowiak, J. J. and R. J. Jackman: The etiology of pilonidal sinus. Dis. Colon & Rectum5: 28, 1962.

    Article  CAS  Google Scholar 

  8. Gabriel, W. B.: The Principles and Practice of Rectal Surgery. Ed. 4, London, H. K. Lewis & Co., Ltd., 1949, pp. 225; 233.

    Google Scholar 

  9. Gabriel, W. B.: Personal communication to the author.

  10. Goldman, J. and I. Kalow: Pilonidal cyst complicated by basal cell epithelioma. Bull. Hosp. Joint Dis.1: 89, 1940.

    Google Scholar 

  11. Goodall, P.: The aetiology and treatment of pilonidal sinus: A review of 163 patients. Brit. J. Surg.49: 212, 1961.

    Article  PubMed  CAS  Google Scholar 

  12. Haworth, J. C. and R. B. Zachary: Congenital dermal sinuses in children: Their relation to pilonidal sinuses. Lancet2: 10, 1955.

    Article  Google Scholar 

  13. Hayden, E. P.: Proctology: Pilonidal disease. New England J. Med.255: 854, 1956.

    Article  CAS  Google Scholar 

  14. Hill, J. R.: Infections and sinuses other than fistulas in the perianal region. Am. J. Surg.88: 829, 1954.

    Article  PubMed  CAS  Google Scholar 

  15. Hodges, R. M.: Pilonidal sinus. Boston M. & S. J.103: 485, 1880.

    Google Scholar 

  16. Klass, A. A.: The so-called pilo-nidal sinus. Canad. M. A. J.75: 737, 1956.

    CAS  Google Scholar 

  17. Kooistra, H. P.: Pilonidal sinuses: Review of the literature and report of three hundred fifty cases. Am. J. Surg. n.s.55: 3, 1942.

    Article  Google Scholar 

  18. MacLeod, R. G.: Pilonidal sinus of the suprapublic region. Brit. M. J.1: 710, 1953.

    Article  PubMed  CAS  Google Scholar 

  19. Newell, R. L.: Coccygeal sinus. Brit. J. Surg.21: 219, 1933.

    Article  Google Scholar 

  20. Patey, D. H. and R. W. Scarff: Pathology of postanal sinus: Its bearing on treatment. Lancet2: 484, 1946.

    Article  Google Scholar 

  21. Patey, D. H. and R. W. Scarff: Pilonidal sinus in a barber’s hand: With observations on postanal pilonidal sinus. Lancet2: 13, 1948.

    Article  PubMed  CAS  Google Scholar 

  22. Patey, D. H. and R. W. Scarff: The hair of the pilonidal sinus. Lancet1: 722, 1955.

    Google Scholar 

  23. Patey, D. H. and E. S. Williams: Pilonidal sinus of the umbilicus. Lancet2: 281, 1956.

    Article  Google Scholar 

  24. Rogers, H.: Pilonidal sinus. Surg., Gynec. & Obst.57: 803, 1933.

    Google Scholar 

  25. Shoesmith, J. H.: Pilonidal sinus in an above-knee amputation stump. Lancet2: 378, 1953.

    Article  Google Scholar 

  26. Smith, T. E.: Anterior or perineal pilonidal cysts. J.A.M.A.136: 973, 1948.

    CAS  Google Scholar 

  27. Stone, H. B.: Pilonidal sinus (coccygeal fistula). Ann. Surg.79: 410, 1924.

    PubMed  CAS  Google Scholar 

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Thorlakson, R.H. An unusual type of pilonidal sinus. Dis Colon Rectum 6, 345–351 (1963). https://doi.org/10.1007/BF02618391

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  • DOI: https://doi.org/10.1007/BF02618391

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