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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 27-29

Rare complication of a common disease: Coccygeal osteomyelitis following Pilonidal sinus


Department of Digestive Diseases, Zen Multispeciality Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Pranav Mandovra
Department of Digestive Diseases, Zen Multispeciality Hospital, Plot No. 425, 10th Road, Chembur East, Mumbai - 400 071, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/WJCS.WJCS_10_18

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Pilonidal sinuses commonly arise in the sacrococcygeal region. The common complications are local cellulitis, abscess formation which is related to the infectious process, and recurrence after surgery. They rarely evolve with osteomyelitis, meningitis, or malignant transformation. Coccygeal osteomyelitis as a direct complication of sacrococcygeal pilonidal sinus disease (PSD) is extremely rare with limited data. We report a case of complicated sacrococcygeal PSD with coccygeal osteomyelitis. It was managed with: wide local excision of the pilonidal sinus, coccygectomy, perineal musculature reconstruction, and defect closure by Limberg rhomboid flap.


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