A case of sacral chordoma clinically simulating pilonidal 'cyst' in a 47-year-old male is presented. The clinical presentation with radiographic and histologic features of this entity with post-treatment clinical follow up is presented with a review of the literature.

AIM OF THIS STUDY to report our results in a large series of patients with chronic pilonidal sinus (PS) at long term follow up. MATERIALS AND METHODS Two hundred sixteen patients underwent excision and rhomboid flap transposition (RFT) from 1986 to 2004 for PS, and followed for more than two years. Clinical presentation includes: pilonidal abscess treated by drainage (33%), chronic discharge ...

BACKGROUND The treatment of pilonidal sinus disease still remains challenging. Despite many non-surgical and surgical methods, no consensus emerged for the best treatment. We describe a new innovative technique consisting in the destruction of the pilonidal cyst with a radial laser probe (FILACTM, Biolitec, Germany). The energy delivered causes the destruction of the sinus epithelium and the si...

PURPOSE The objective of the present study was to compare different off-midline techniques in terms of their advantages and disadvantages. METHODS A total of 81 patients were included in this prospective, controlled, randomized study. Patients in group 1 were treated with the Limberg flap, and patients in group 2 were treated with Mutaf technique. Patients were followed up for 9 months postsu...

BACKGROUND We present a clinical experience with a new local flap procedure, namely the triangular closure technique, for reconstruction of sacrococcygeal skin defects resulting from excision of the pilonidal sinus. MATERIAL AND METHODS In this technique, the defect is surgically converted to a triangle in shape. Then, the triangular defect is closed by transposition of 2 skin flaps designed in...

A 38 year-old girl with a recurrent suppurative pilonidal cyst was successfully treated causally with an Nd-YAG laser, and with no recurrence at the 3-month follow-up. A similar success is observed for another 15 consecutively treated patients, including suppurative cases. The effect could be attributable to the ability of the YAG-laser to operate at a wave-length of 1064 nm and to penetrate th...

Squamous cell carcinoma (SCC) is a rare complication observed mainly in chronic, recurrent and untreated primary pilonidal disease. It is associated with poor prognosis, and its recurrence rate after surgery is high. Here we present a patient diagnosed with SCC arising from a neglected pilonidal sinus. A 44-year-old male, who is a heavy truck driver, applied to the hospital with chronic dischar...