Pilonidal dimple is a condition that can occur anywhere along the crease between the buttocks, which runs from the bone at the bottom of the spine (sacrum) to the anus.
Pilonidal dimple may appear as:
Pilonidal abscess; Pilonidal sinus; Pilonidal cyst; Pilonidal disease
ConsiderationsSymptoms may include:
There may be no symptoms other than a small dent (pit) in the skin in the crease between the buttocks.
Common CausesThe cause of pilonidal disease is not clear. It is thought to be caused by hair growing into the skin in the crease between the buttocks.
This problem is more likely to occur in people who:
It may help to keep the area clean and dry and remove hair regularly to prevent infection.
Call your health care provider ifCall your health care provider if you notice any of the following around the pilonidal cyst:
You will be asked for your medical history and given a physical examination. Sometimes you may be asked for the following information:
Rarely, a CT scan is done.
Pilonidal disease that causes no symptoms does not need to be treated.
A pilonidal abscess may be opened, drained, and packed with gauze. Antibiotics may be used if there is an infection spreading in the skin or you also have another, more severe illness.
Other surgeries that may be needed include:
Stafford SJ, Klein MD. Pilonidal sinus and abscess. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 336.6.
Nelson H, Cima RR. Anus. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 51.
Humphries AF, Duncan JE. Evaluation and management of pilonidal disease. Surg Clin North Am. 2010;90:113-124.
Reviewed ByReview Date: 11/07/2011
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
A pilonidal sinus is a dimple that appears in the mid-line cleft at the level of the coccyx and is seen relatively frequently in infants. Overall, there is no evidence that a little pilonidal sinus provokes any problems for a young patient.
A pilonidal cyst is a painful lump that develops at the base of the tailbone. It can become infected and filled with pus, causing pain, swelling, and drainage. Treatment may involve antibiotics, draining the cyst, or surgical removal.
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