PILONIDAL ABSCESS

SYMPTOMS

The symptoms of pilonidal abscesses can vary depending on the severity of the condition. Common symptoms may include:

• Pain or tenderness in the sacrococcygeal region, especially when sitting or standing.
• Swelling, redness, or warmth in the affected area.
• Drainage of pus or blood from the abscess, which may have a foul odor.

Fever, chills, or malaise in cases of severe infection.
In some cases, pilonidal abscesses may recur or become chronic, leading to the formation of sinus tracts or fistulas in the skin.

DIAGNOSIS

Diagnosing pilonidal abscesses typically involves a combination of medical history review, physical examination, and imaging studies. During the physical examination, healthcare providers may assess the appearance of the skin in the sacrococcygeal area and look for signs of inflammation or infection. Imaging studies such as ultrasound or MRI may be performed to evaluate the extent of the abscess and identify any underlying sinus tracts or fistulas.

TREATMENT

Treatment for pilonidal abscesses aims to alleviate symptoms, promote healing, and prevent recurrence. Depending on the severity of the abscess, treatment options may include:

• Incision and Drainage: Surgical drainage of the abscess is often necessary to remove pus and debris and relieve pain and pressure. In some cases, a small incision may be made to facilitate drainage, followed by packing of the wound to promote healing.
• Antibiotic Therapy: Oral or intravenous antibiotics may be prescribed to treat underlying bacterial infection and prevent complications, especially in cases of severe or recurrent abscesses.
• Wound Care: Proper wound care is essential for promoting healing and preventing infection. This may involve regular cleansing of the wound, application of topical antiseptics or dressings, and instructions for wound care at home.
• Surgical Excision: In cases of recurrent or chronic pilonidal disease, surgical excision of the affected tissue may be recommended to remove the abscess and prevent future recurrence. This may involve the removal of the entire pilonidal sinus or fistula tract, followed by closure of the wound with stitches or a skin flap.