title: [Pre-sacral cyst as differential diagnosis to recurrent pilonidal cyst with abscess].
abstract: A 31-year-old man presented with a recurrent abscess in the gluteal cleft. It was interpreted as a pilonidal sinus and he underwent surgery several times. The modified Bascom's asymmetric midgluteal cleft closure technique was used without satisfying clinical remission. Endoscopy, magnetic resonance imaging and transrectal ultrasound visualized a pre-sacral cyst, which was excised in toto with laterosacral approach of Kraske. A histological examination showed epidermal inclusion cyst. The post-operative course was uneventful.
authors.affiliation: Halvtolv 15, 1. mf., 1436 København K. linetofttengberg@gmail.com.
authors.forename: Line Toft
authors.initials: LT
authors.lastname: Tengberg
authors.forename: Orhan
authors.initials: O
authors.lastname: Bulut
authors.forename: Jens
authors.initials: J
authors.lastname: Andersen
mesh_terms: D000038:Abscess / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D004814:Epidermal Cyst / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010864:Pilonidal Sinus / Q000473:pathology / Q000601:surgery; D012003:Rectal Fistula / Q000175:diagnosis* / Q000601:surgery; D012008:Recurrence