Tengberg Line Toft, Bulut Orhan, Andersen Jens
Halvtolv 15, 1. mf., 1436 København K.
Ugeskr Laeger. 2015 Jan 26;177(2A):14-5.
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.
一名31岁男性因臀裂反复出现脓肿就诊。最初被诊断为藏毛窦，他接受了多次手术。采用改良的巴斯科姆不对称臀裂闭合技术，但临床症状未得到满意缓解。内镜检查、磁共振成像和经直肠超声检查发现一个骶前囊肿，采用克拉斯克侧骶骨入路将其完整切除。组织学检查显示为表皮样囊肿。术后恢复顺利。
