{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:40:05Z","timestamp":1756327205818,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,27]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>The most common site for a pilonidal sinus is the sacrococcygeal region, typically affecting hirsute males. Hair entrapment beneath the skin triggers a granulomatous reaction, leading to the formation of a sinus tract. Here, we present a rare case of concurrent pilonidal abscess in both the nape of the neck and the natal cleft. To date, only five similar cases have been reported in the literature, making this presentation unique.<\/jats:p>\n               <jats:p>The patient, in his mid-30s, presented with recurrent swelling and discharging sinuses in both the nape of the neck and the intergluteal region. The surgical intervention included excision of the sinus tract in the neck and wide local excision with Limberg flap reconstruction in the sacrococcygeal region.<\/jats:p>\n               <jats:p>One year post-surgery, the patient showed complete healing with no recurrence observed during follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2024-261865","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T23:45:14Z","timestamp":1737503114000},"page":"e261865","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Concurrent pilonidal sinus of the nape of the neck and sacrococcygeal region"],"prefix":"10.1136","volume":"18","author":[{"given":"Bharati","family":"Hiremath","sequence":"first","affiliation":[{"name":"General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8413-2173","authenticated-orcid":false,"given":"Sanyam","family":"Khurana","sequence":"additional","affiliation":[{"name":"General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9838-3954","authenticated-orcid":false,"given":"B M","family":"Nandakumar","sequence":"additional","affiliation":[{"name":"General Surgery, MS Ramaiah Medical College, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"2025082713043947000_18.1.e261865.1","doi-asserted-by":"crossref","unstructured":"Tomas P . Pilonidal Sinus at Lateral Aspect of Neck. Can Res 2017;05. doi:10.21767\/2254-6081.1000145","DOI":"10.21767\/2254-6081.1000145"},{"key":"2025082713043947000_18.1.e261865.2","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":"2025082713043947000_18.1.e261865.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2013.05.006"},{"key":"2025082713043947000_18.1.e261865.4","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1007\/s00268-017-4093-5","article-title":"The Hair in the Sinus: Sharp\u2010Ended Rootless Head Hair Fragments can be Found in Large Amounts in Pilonidal Sinus Nests","volume":"42","author":"Bosche","year":"2018","journal-title":"World j surg"},{"key":"2025082713043947000_18.1.e261865.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2012.02412.x"},{"key":"2025082713043947000_18.1.e261865.6","doi-asserted-by":"crossref","first-page":"2388","DOI":"10.1097\/JS9.0000000000000447","article-title":"Progress in the surgical treatment of sacrococcygeal pilonidal sinus: a review","volume":"109","author":"Wu","year":"2023","journal-title":"Int J Surg"},{"key":"2025082713043947000_18.1.e261865.7","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/BF00308751","article-title":"Pilonidal sinus on the neck","volume":"22","author":"Miyata","year":"1992","journal-title":"Surg Today"},{"key":"2025082713043947000_18.1.e261865.8","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215105007279"},{"key":"2025082713043947000_18.1.e261865.9","unstructured":"Salih AM , Kakamad FH , Salih RQ , et al . Pilonidal sinus of neck: A case report. Int J Case Rep Imag 2018. doi:10.5348\/100882Z01AS2018CR"},{"key":"2025082713043947000_18.1.e261865.10","article-title":"Surgical Excision of a Pilonidal Sinus at the Neck Region","volume":"13","author":"Mikwar","year":"2021","journal-title":"Cureus"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261865","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T20:04:50Z","timestamp":1756325090000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,21]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-261865"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261865","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}