[Pre-sacral cyst as differential diagnosis to recurrent pilonidal cyst with abscess].

Abstract

A 31-year-old man presented with a recurrent abscess in the gluteal cleft. It was interpreted as a pilonidal sinus and he underwent surgery several times. The modified Bascom's asymmetric midgluteal cleft closure technique was used without satisfying clinical remission. Endoscopy, magnetic resonance imaging and transrectal ultrasound visualized a pre-sacral cyst, which was excised in toto with laterosacral approach of Kraske. A histological examination showed epidermal inclusion cyst. The post-operative course was uneventful.

• Authors: Line Toft Tengberg, Orhan Bulut, Jens Andersen
• Journal: Ugeskrift for laeger (Ugeskr Laeger) Vol. 177 Issue 2A Pg. 14-5 (Jan 26 2015) ISSN: 1603-6824 [Electronic] Denmark
• Vernacular Title: Præsakral cyste som differentialdiagnose til recidiverende pilonidalcyste med abscess.
• PMID: 25612946 (Publication Type: Case Reports)

Topics

• Abscess (diagnosis, surgery)
• Adult
• Diagnosis, Differential
• Epidermal Cyst (diagnosis, surgery)
• Humans
• Magnetic Resonance Imaging
• Male
• Pilonidal Sinus (pathology, surgery)
• Rectal Fistula (diagnosis, surgery)
• Recurrence