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Prevalence of sacrococcygeal pilonidal sinus as a silent disease

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Abstract

Purpose

The aim of this research was to determine the prevalence of sacrococcygeal pilonidal sinus disease (SPSD) based on clinical examination and histopathological evaluation.

Methods

Between January 1, 2010 and December 30, 2010, 432 corpses were evaluated in the Istanbul Central Office of Forensic Medicine Institute of the Turkish Ministry of Health.

Results

41 of the 432 cases (9.4 %) had SPSD-related findings. 20 (4.6 %) had at least one sinus tract (clinical SPSD) and all of them had at least three positive histopathologic parameters. 16 of 41 cases (3.7 %) were clinically normal but had at least three positive histopathologic parameters (silent SPSD).

Conclusion

Prevalence of SPSD with clinical examination is 4.6 %. These data are according to the literature. But with inclusion of the silent cases, the prevalence rate increases to 8.3 %. We conclude that inflammatory process does not result in SPSD in nearly half of the cases.

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Correspondence to Erhan Aysan.

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Aysan, E., Ilhan, M., Bektas, H. et al. Prevalence of sacrococcygeal pilonidal sinus as a silent disease. Surg Today 43, 1286–1289 (2013). https://doi.org/10.1007/s00595-012-0433-0

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  • DOI: https://doi.org/10.1007/s00595-012-0433-0

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