{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:02Z","timestamp":1756321802498,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,13]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Pilonidal disease is a common condition, typically occurring in the natal cleft of adult males. Other sites of pilonidal sinus are rarely reported. We report a case of periareolar pilonidal abscess in the breast of a 52-year-old woman who presented via the breast clinic complaining of nipple inversion and pain. Clinical examination and imaging revealed an underlying abscess which recurred despite antibiotic therapy and needle aspiration; the patient therefore underwent surgical excision of the abscess cavity. Subsequent histology diagnosed pilonidal abscess, an important differential to consider in the case of breast abscess, particularly in cases that are slow to resolve or recur post-treatment.<\/jats:p>","DOI":"10.1136\/bcr-2018-227381","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T05:10:35Z","timestamp":1554181835000},"page":"e227381","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Pilonidal abscess of the breast"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5138-1224","authenticated-orcid":false,"given":"Joseph","family":"Keighley","sequence":"first","affiliation":[{"name":"Radiology Department, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"},{"name":"General Surgery Department, East Sussex Healthcare NHS Trust, Sussex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aishah","family":"Nadim","sequence":"additional","affiliation":[{"name":"General Surgery Department, East Sussex Healthcare NHS Trust, Sussex, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Howlett","sequence":"additional","affiliation":[{"name":"Radiology, Eastbourne District General Hospital, Eastbourne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082711560818000_12.3.e227381.1","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.ijscr.2017.10.021","article-title":"Intermammary pilonidal sinus: The first case series","volume":"41","author":"Shareef","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2025082711560818000_12.3.e227381.2","doi-asserted-by":"crossref","first-page":"046","DOI":"10.1055\/s-0031-1272823","article-title":"Pilonidal disease","volume":"24","author":"Khanna","year":"2011","journal-title":"Clin Colon Rectal Surg"},{"key":"2025082711560818000_12.3.e227381.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(02)00062-2"},{"key":"2025082711560818000_12.3.e227381.4","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/J.JHSB.2005.12.002","article-title":"Interdigital pilonidal sinus in a hairdresser","volume":"31","author":"Ballas","year":"2006","journal-title":"J Hand Surg Br"},{"key":"2025082711560818000_12.3.e227381.5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.297.6664.1641"},{"key":"2025082711560818000_12.3.e227381.6","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rju061"},{"key":"2025082711560818000_12.3.e227381.7","doi-asserted-by":"crossref","first-page":"599","DOI":"10.12968\/hmed.2016.77.10.599a","article-title":"Pilonidal cyst of the male breast: barber\u2019s disease","volume":"77","author":"Hughes","year":"2016","journal-title":"Br J Hosp Med"},{"key":"2025082711560818000_12.3.e227381.8","first-page":"784","article-title":"Pilonidal cyst of the breast","volume":"84","author":"Ferdinand","year":"1997","journal-title":"Br J Surg"},{"key":"2025082711560818000_12.3.e227381.9","first-page":"9","article-title":"Pilonidal disease of the nipple","volume":"69","author":"Kaufman","year":"1961","journal-title":"West J Surg Obstet Gynecol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227381","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:56:12Z","timestamp":1756320972000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,31]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-227381"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227381","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}