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Intermammary pilonidal sinus in an adolescent female: a case report.
Pradeep Singh1, Shresth Manglik2, Poulomi Dey1
1Department of General and Minimal Invasive Surgery, NH-Rabindranath Tagore International Institute of Cardiac Sciences, Premises No: 1489, 124, Eastern Metropolitan Bypass, Mukundapur, Kolkata, West Bengal, 700099, India.
This case report details the first intermammary pilonidal sinus in eastern India, a rare condition in young females. Surgical excision proved effective, highlighting the need for considering this diagnosis in chronic intermammary lesions.
Area of Science:
- Medical Case Reports
- Dermatology
- Surgical Pathology
Background:
- Pilonidal sinus disease (PSD) is predominantly found in the sacrococcygeal area.
- Intermammary PSD is exceptionally rare, with limited documented cases globally.
- This report presents the first documented instance of intermammary PSD in eastern India.
Purpose of the Study:
- To document the first case of intermammary pilonidal sinus in eastern India.
- To emphasize the importance of considering intermammary PSD in the differential diagnosis of chronic breast lesions.
- To highlight optimal management strategies and outcomes for this rare condition.
Main Methods:
- A 14-year-old Asian female presented with a year-long history of intermammary swelling and a subsequent discharging sinus.
- Physical examination revealed multiple sinus openings and induration in the intermammary region.
- Surgical management involved complete excision of the sinus tract with primary closure under general anesthesia.
Main Results:
- Histopathological examination confirmed the diagnosis of pilonidal sinus.
- The patient experienced an uncomplicated recovery following surgical intervention.
- No recurrence of the intermammary pilonidal sinus was observed during follow-up.
Conclusions:
- Intermammary pilonidal sinus should be included in the differential diagnosis for chronic intermammary lesions, especially in young females with large breasts.
- Early recognition and complete surgical excision are the recommended treatment modalities.
- The case demonstrates excellent outcomes with surgical management, emphasizing its efficacy.
