Pilonidal Disease of the Intermammary Cleft: Report of Two Cases and Literature Review

dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.contributor.authorAkbulut, Sami
dc.contributor.authorDirican, Abuzer
dc.date.accessioned2024-08-04T20:45:59Z
dc.date.available2024-08-04T20:45:59Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAlthough pilonidal disease (PD) characterized by chronic inflammation of the skin and subcutaneous tissue most commonly seen in the intergluteal cleft, it rarely affects the umbilicus, axilla, nose, neck, interphalangeal and toe webs, and breast and intermammary cleft. Herein, we aimed to present two patients with intermammary cleft PD and to provide a literature review on this subject. The first case was a 16-year-old woman who presented to our clinic with discharge from the intermammary cleft that had first started 6 months earlier. Her physical examination revealed two sinus orifices consistent with PD. Several days after drainage and antibiotherapy, the patient was operated and all involved tissue was excised. The second case was an 18-year-old woman referred to our hospital after having undergone several drainage procedures for a pilonidal sinus detected in the intermammary cleft at an outside center. After completing preoperative tests, the patient was taken into operation and all tissues until the anterior aspect of the sternum were excised. The defects of both patients were primarily closed and no recurrent PD developed in any of them. Hidradenitis suppurativa and breast abscesses should be considered in the differential diagnoses of PD localized to the intermammary cleft or breast tissue. Drainage and antibiotherapy are the most appropriate approaches among cases presenting with abscess formation. As cosmetic issues are more of a concern with intermammary cleft PD, excision and primary closure technique may be prioritized instead of flap techniques in chronic PD.en_US
dc.identifier.doi10.1007/s12262-019-01897-1
dc.identifier.endpage66en_US
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85066018330en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage62en_US
dc.identifier.urihttps://doi.org/10.1007/s12262-019-01897-1
dc.identifier.urihttps://hdl.handle.net/11616/98804
dc.identifier.volume82en_US
dc.identifier.wosWOS:000516635800012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Indiaen_US
dc.relation.ispartofIndian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPilonidal diseaseen_US
dc.subjectUnusual locationen_US
dc.subjectBreasten_US
dc.subjectIntermammary cleften_US
dc.titlePilonidal Disease of the Intermammary Cleft: Report of Two Cases and Literature Reviewen_US
dc.typeReview Articleen_US

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