A 35 year old patient came to our clinic with the pain and lump in the back in the gluteal area for 3 days which has been progressively getting painful. The patient was seen by Dr. Jain who incised and drained the cyst. The packing was placed after the drainage of the cyst which was removed the next day. The patient responded well and was pain free next day.
Pilonidal cysts are painful found near the coccyx and typically occur between the ages of 15 and 35. A pilonidal cyst is usually painful, but with draining, the patient might not feel pain.
Causes: Some of the causes of pilonidal cyst is ingrown hair and excessive sitting can predispose people because that increases the pressure on the coccyx region. Trauma also can cause the inflammation of an existing cyst and it can occur months after the injury. Sweating can also be the factor for the cause of pilonidal cyst. Moisture can fill a stretched hair follicle which leads in to low oxygen requirement which promotes the growth of anaerobic bacteria. I can be also caused prolonged ride in the car or jeep due to irritation and pressure on the coccyx.
Pilonidal cyst can resemble a dermoid cyst, a kind of teratoma. Teratoma require complete surgical excision, if possible without any spillage, and consultation with an oncologist.