Case Report
 
Pilonidal sinus of neck: A case report
Abdulwahid M. Salih1, Fahmi H. Kakamad2,3, Rawezh Q. Salih3,4, Hiwa O. Baba3, Shvan H. Mohammed3, Kayhan A. Najar3, Suhaib H. Kakamad3, Asmaa N. Abdullah5
1Faculty of Medical Sciences, School of Medicine, Department Surgery, University of Sulaimani, François Mitterrand Street, Sulaimani, Kurdistan, Iraq
2Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, François Mitterrand Street, Sulaimani, Kurdistan, Iraq
3Kscien Organization for Scientific Research, Hamdi street, Azay mall,Second floor, Sulaimani, Kurdistan, Iraq
4Shar Medical Center, Ibrahem pasha street, Sulaimani, Kurdistan, Iraq
5Faculty of Medical Sciences, School of Medicine, Department Pathology, University of Sulaimani, François Mitterrand Street, Sulaimani, Kurdistan, Iraq

Article ID: 100882Z01AS2018
doi: 10.5348/100882Z01AS2018CR

Corresponding Author:
Fahmi H. Kakamad,
Faculty of Medical Sciences,
School of Medicine, Department Cardiothoracic and Vascular Surgery,
University of Sulaimani, François Mitterrand Street,
Sulaimani, Kurdistan,
Iraq

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How to cite this article
Salih AM, Kakamad FH, Salih RQ, Baba HO, Mohammed SH, Najar KA, Kakamad SH, Abdullah AN. Pilonidal sinus of neck: A case report. Int J Case Rep Images 2018;9:100882Z01AS2018.


ABSTRACT

Introduction: Pilonidal sinus (CPNS) is a chronic inflammatory disease resulting from hair penetration into the epidermis. Atypical pilonidal sinus is a pilonidal sinus of areas other than sacrococcygeal site. The aim of this study is to report another rare type of atypical PNS which is neck pilonidal sinus.
Case Report: A 20-year-old female presented with chronic multiple sinuses in the posterior part of neck that associated with yellowish discharge for about one year. On examination, there were about 10 openings on the nape of her neck with surrounding skin erythema. The excision of sinuses was performed under local anesthesia. Wound was closed by layers, histopathological examination confirmed diagnosis of pilonidal sinus. After two months of follow-up the wound was acceptable with clear margins.
Conclusion: Neck PNS is another type of atypical PNS presenting with multiple discharging sinuses. Excision with primary closure is the definitive management therapy.

Keywords: Atypical pilonidal sinus, Discharging sinus, Neck



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Author Contributions
Abdulwahid M. Salih – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fahmi H. Kakamad – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rawezh Q. Salih – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hiwa O. Baba – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Shvan H. Mohammed – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kayhan A. Najar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Suhaib H. Kakamad – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Asmaa N. Abdullah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2018 Abdulwahid M. Salih et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.