Case Report    OPEN ACCESS

Axillary pilonidal sinus: A case report

1 Department of General Surgery, Giresun University Faculty of Medicine, 28100 Giresun, Turkey.
2 Department of Pathology, Prof. Dr. A. Ilhan Ozdemir State Hospital, 28200 Giresun, Turkey.
3 Division of Cytology, Department of Pathology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Citation: Sengul I, Sengul D, Mocan G. Axillary pilonidal sinus: A case report. North Am J Med Sci 2009; 1: 316-318.    
Availability: www.najms.org
ISSN: 1947 – 2714

Abstract   

Context: Pilonidal sinus is a disease which is very common, especially in men and  usually located in sacrococcygeal area. However, the disease can be also seen in rare localizations such as umblicus, forehead, scalp, clitoris, interdigital area and axilla. In the etiology of pilonidal sinus, acquired theory is accepted by most of surgeons instead of the congenital one. Case report: In the present study, we purposed to report our case of hirsute Turkish women aged 25 having axillary pilonidal sinus. After application of total surgical excision with eliptical skin incision, histopathological evaluations confirmed the prediagnosis of axillary pilonidal sinus. The patient was lost to follow-up and neither recurrens nor distance metastasis has been detected during 36 months. Conclusions: In our opinion; surgical therapy of axillary pilonidal sinus, allows to complete resection in addition to absolute histopathological diagnoses and it may be an appropriate choice of treatment especially for the disease having one or two sinuses.

Keywords: Pilonidal sinus, axilla, axillary pilonidal sinus.

Correspondence to: Ilker Sengul, General Surgery, MD. The Founder Chairman of Department of General Surgery, Vice Dean’s Office, Deanery of Giresun University Faculty of Medicine, 28100 Giresun, Turkey. Tel.: +90 454 3101000, Fax: +90 4543101016. Email: dr.ilker52@mynet.com