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Updated: Apr 18, 2026

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
Published on: October 20, 2023
[Pre-sacral cyst as differential diagnosis to recurrent pilonidal cyst with abscess]
Line Toft Tengberg1, Orhan Bulut, Jens Andersen
1Halvtolv 15, 1. mf., 1436 København K. linetofttengberg@gmail.com.
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.
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