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Case 17: Discharging lump in natal cleft

This young man presents with a 12 month history of an intermittently painful and discharging lump at the lower back.

1. What is the likely diagnosis?

A pilonidal sinus.

Further Links -------Pilonidal Sinus -----surgical-tutor.org.uk

Reference : Kitchen P R B. Pilonidal sinus: experience with the Karydakis flap. Br J Surg 1996; 83: 1452-1455