Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 4 Issue 5

All Sinus in Natal, Always Pilonidal?

Vishal Soni1* and Megha Sanghvi2

1Laparoscopic Gastro-Intestinal Surgeon, Department of Surgical Gastroenterology, Zydus Hospital, Ahmedabad, Gujarat, India
2Consultant Radiologist, Zydus Hospital, Ahmedabad, Gujarat, India

*Corresponding Author: Vishal Soni, Laparoscopic Gastro-Intestinal Surgeon, Department of Surgical Gastroenterology, Zydus Hospital, Ahmedabad, Gujarat, India.

Received: March 19, 2021; Published: April 12, 2021


  A 26-year-old Army man with a pre-operative clinical diagnosis of Pilonidal Disease was found to have a long lateral track extension intra-operatively. Surgery was abandoned and the patient was subjected to further radiological, microbiological and histopathological tests for etiology. After extensive work up, he was subjected to surgery with an excision of about 25 cm track and primary closure of the wound. He made uneventful recovery with excellent wound healing. Final histopathology report showed it to be Non-granulomatous Inflammation, without any hair elements due to which we would like to term it as a case of Idiopathic Natal Sinus (INS) and not a Pilonidal Disease. 4 year follow up has shown no recurrence.

Keywords: Sinus; Pilonidal; Natal Cleft Abscess; Atypical Sinus; Idiopathic Natal Sinus


  1. S Chintapatla., et al. “Sacrococcygeal pilonidal sinus”. Techniques in Coloproctology 7 (2003): 3-8.
  2. Salih A., et al. “Pilonidal sinus of atypical areas: presentation and management". PSJ1 (2017): 8-15.
  3. Gupta PJ. “Tubercular infection in the sacrococcygeal pilonidal sinus - a case report”. International Wound Journal (2008): 648-650.
  4. Sacrococcygeal pilonidal sinus disease: MRI role and findings (2020).


Citation: Vishal Soni and Megha Sanghvi. “All Sinus in Natal, Always Pilonidal?”. Acta Scientific Gastrointestinal Disorders 4.5 (2021): 19-21.


Copyright: © 2021 Vishal Soni and Megha Sanghvi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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