Perineal pilonidal sinus after an antero-posterior resection of rectum: case report
1Department of Surgery, Princess Royal University Hospital, Farnborough Common, Orpington, Greater London. dr_durai@yahoo.com
Introduction:
Pilonidal sinus is common in sacroiliac region and occasionally occurs in the interdigital web space.
Method:
We describe an unusual case of an acquired implantation pilonidal sinus involving the perineal wound which occurred after an anteroposterior resection of the rectum.
Result/Discussion:
This patient was successfully treated by excision of the sinuses. Recognition and treatment of this condition may cure the patient with a persistent post operative perineal sinus.
Insights
This case report details an acquired pilonidal sinus in a perineal wound after rectal resection. Surgical excision successfully treated the condition, offering a potential cure for persistent postoperative perineal sinuses.
Area of Science:
- Surgical Case Reports
- Proctology
- Wound Healing
Background:
- Pilonidal sinus commonly affects the sacroiliac region.
- It can rarely occur in interdigital spaces.
- This report focuses on an atypical presentation.
Observation:
- An acquired implantation pilonidal sinus developed in a perineal wound.
- The condition arose after an anteroposterior rectal resection.
- This represents an unusual post-operative complication.
Findings:
- Surgical excision of the pilonidal sinuses led to successful treatment.
- The patient experienced a complete recovery.
- This highlights the efficacy of surgical intervention.
Implications:
- Early recognition and surgical treatment can resolve persistent postoperative perineal sinuses.
- This case expands the understanding of pilonidal sinus etiology and management.
- Clinicians should consider pilonidal sinus in unexplained perineal wound issues post-rectal surgery.
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