Last reviewed: June 2018
Last updated: April  2018

Summary

Definition

History and exam

Key diagnostic factors

  • sacrococcygeal discharge
  • sacrococcygeal pain and swelling
  • sacrococcygeal sinus tracts

Other diagnostic factors

  • presence of risk factors
  • hx of prior rupture of fluid into natal cleft
  • skin maceration
  • acutely increased natal cleft pain and swelling
  • fever or toxaemia

Risk factors

  • male sex
  • age 16 to 40 years
  • FHx of pilonidal disease
  • stiff hair and hirsutism

Diagnostic investigations

Treatment algorithm

Contributors

Authors VIEW ALL

Consultant Surgeon

Department of General Surgery

Northumbria Healthcare NHS Foundation Trust

UK

Disclosures

IJDM is an author of a reference cited in this topic.

Mr Iain J.D. McCallum would like to gratefully acknowledge Dr Seamus Kelly, a previous contributor to this topic.

Disclosures

SK declares that he has no competing interests.

Peer reviewers VIEW ALL

Assistant Clinical Professor of Surgery

UCLA

Chief of Colon and Rectal Surgery Chair

Center for Minimally Invasive Surgery Kaiser Permanente

Los Angeles

CA

Disclosures

MAA declares that he has no competing interests.

Consultant Colorectal Surgeon

Clinical Manager of General Surgery and ETC

Department of Surgery

Manchester Royal Infirmary

Manchester

UK

Disclosures

AJMW is an author of a reference cited in this monograph.

Use of this content is subject to our disclaimer