Salih Abdulwahid M, Mohammed Shvan H, Mustafa Mohammed Q, Essa Rawand A, Kakamad Fahmi H, Mikael Tomas M, Omar Diyar A, Mohammed Karukh K, Hassan Hunar Ali, Aziz Masrur S, Usf Drood C, Najar Kayhan A, Salih Karzan M
Faculty of Medical Sciences, School of Medicine, University of Sulaimani, Sulaimani, Kurdistan, Iraq.
Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, Kurdistan, Iraq; Chara Laboratory, Shahedan Street, Kalar, Kurdistan, Iraq.
Int J Surg Case Rep. 2020;67:18-20. doi: 10.1016/j.ijscr.2020.01.003. Epub 2020 Jan 16.
Pilonidal sinus (PNS) is a chronic inflammatory perianal disorder that rarely occurs outside sacrococcygeal region. The aim of this study is to report an extremely rare case of bilateral inframammary PNS with brief literature review.
A 25-year-old female presented with a discharging sinuses in both inframammary region for two years. Examination showed multiple discharging sinuses with several centimeters of induration and tenderness. Under general anesthesia, complete excision of the sinuses with primary closure done. Histopathological examinations showed chronic foreign body granuloma surrounding hair shaft pictures consistent with PNS.
Inframammary PNS has never been reported in the literature. As with intermammary PNS, in this case also it is associated with obesity and large breasts with tight brassieres. Diagnosis is usually clinical. In contrast to sacrococcygeal PNS, operation under general anesthesia is main treatment modality.
Pilonidal sinus of inframammary region is an extremely rare condition. High index of suspicion is required for diagnosis. Excision with primary closure is the definitive therapy.
藏毛窦（PNS）是一种慢性炎症性肛周疾病，很少发生在骶尾区域以外。本研究的目的是报告一例极为罕见的双侧乳房下藏毛窦病例，并进行简要的文献综述。
一名25岁女性，双侧乳房下出现排脓窦道两年。检查发现多个排脓窦道，伴有几厘米的硬结和压痛。在全身麻醉下，完整切除窦道并一期缝合。组织病理学检查显示围绕毛干的慢性异物肉芽肿图像，符合藏毛窦表现。
乳房下藏毛窦在文献中从未有过报道。与乳房间藏毛窦一样，本例也与肥胖、乳房大且穿着紧身胸罩有关。诊断通常依靠临床。与骶尾藏毛窦不同，全身麻醉下手术是主要治疗方式。
乳房下藏毛窦是一种极为罕见的疾病。诊断需要高度的怀疑指数。一期缝合切除是确定性治疗方法。
