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 Pilonidal disease
(epithelial coccygeal duct)

Epithelial coccygeal duct is a pathology in which the patient is diagnosed with a narrow duct in the coccyx-sacral area with one or more holes in the skin. The passage ends in the subcutaneous tissue, without connecting with the anal passage. When secretions, bacteria and hair grow inside, the walls of the canal become inflamed.


How does the disease proceed?

Several stages of the disease are distinguished. Liquid masses are released from the primary fistula channels, as the disease progresses, the number of channels increases, so the volume of secretions also increases. 

When a significant amount of pus accumulates, a pilonidal abscess develops, which is accompanied by:

  • painful sensations in the coccyx region;

  • redness, swelling of tissues;

  • secretion of purulent masses;

  • tissue compaction;

  • hyperthermia, malaise and fever.


When the abscess breaks through, the patient may feel slight relief. But for complete recovery, it is important to seek professional medical treatment from a proctologist. If the epithelial coccygeal duct was detected, but it was not a concern before, it is better to plan the treatment in order to exclude the risks of pilonidal inflammation in the future.

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