{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T14:36:03Z","timestamp":1767278163446,"version":"3.48.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,1]]},"DOI":"10.7759\/cureus.100561","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T14:31:48Z","timestamp":1767277908000},"source":"Crossref","is-referenced-by-count":0,"title":["Undiagnosed Sacrococcygeal Fistulas: A Case Report"],"prefix":"10.7759","author":[{"given":"Marta","family":"De Figueiredo Martins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Val\u00e9rio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Paula","family":"Pinheiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.34172\/mejdd.2024.373","article-title":"Perianal fistula; from etiology to treatment, a review","volume":"16","author":"Sohrabi M","year":"2024","unstructured":"Sohrabi M, Bahrami S, Mosalli M, Khaleghian M, Obaidinia M. Perianal fistula; from etiology to treatment, a review. Middle East J Dig Dis. 2024, 16:76-85. 10.34172\/mejdd.2024.373","journal-title":"Middle East J Dig Dis"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.20524\/aog.2019.0438","article-title":"Benign anorectal disease: hemorrhoids, fissures, and fistulas","volume":"33","author":"Gardner IH","year":"2020","unstructured":"Gardner IH, Siddharthan RV, Tsikitis VL. Benign anorectal disease: hemorrhoids, fissures, and fistulas. Ann Gastroenterol. 2020, 33:9-18. 10.20524\/aog.2019.0438","journal-title":"Ann Gastroenterol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12020466","article-title":"Crohn's disease-associated and cryptoglandular fistulas: differences and similarities","volume":"12","author":"Zhou Z","year":"2023","unstructured":"Zhou Z, Ouboter LF, Peeters KC, et al.. Crohn's disease-associated and cryptoglandular fistulas: differences and similarities. J Clin Med. 2023, 12:466. 10.3390\/jcm12020466","journal-title":"J Clin Med"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002473","article-title":"The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula","volume":"65","author":"Gaertner WB","year":"2022","unstructured":"Gaertner WB, Burgess PL, Davids JS, et al.. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula. Dis Colon Rectum. 2022, 65:964-985. 10.1097\/DCR.0000000000002473","journal-title":"Dis Colon Rectum"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1155\/cjgh\/6210421","article-title":"Gastrointestinal fistulas-what gastroenterologists need to know in 2025","volume":"2025","author":"Ahmed M","year":"2025","unstructured":"Ahmed M. Gastrointestinal fistulas-what gastroenterologists need to know in 2025. Can J Gastroenterol Hepatol. 2025, 2025:6210421. 10.1155\/cjgh\/6210421","journal-title":"Can J Gastroenterol Hepatol"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001237","article-title":"The American Society of Colon and Rectal Surgeons' Clinical Practice Guidelines for the management of pilonidal disease","volume":"62","author":"Johnson EK","year":"2019","unstructured":"Johnson EK, Vogel JD, Cowan ML, Feingold DL, Steele SR. The American Society of Colon and Rectal Surgeons' Clinical Practice Guidelines for the management of pilonidal disease. Dis Colon Rectum. 2019, 62:146-157. 10.1097\/DCR.0000000000001237","journal-title":"Dis Colon Rectum"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-021-06144-1","article-title":"Guided tour of hidden tracts in the pelvis: exploring pelvic fistulas","volume":"304","author":"Chen IE","year":"2021","unstructured":"Chen IE, Ferraro R, Chow L, Bahrami S. Guided tour of hidden tracts in the pelvis: exploring pelvic fistulas. Arch Gynecol Obstet. 2021, 304:863-871. 10.1007\/s00404-021-06144-1","journal-title":"Arch Gynecol Obstet"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2020.05.071","article-title":"Pilonidal sinus of the perianal region: difficult to diagnose","volume":"72","author":"Sert OZ","year":"2020","unstructured":"Sert OZ. Pilonidal sinus of the perianal region: difficult to diagnose. Int J Surg Case Rep. 2020, 72:96-98. 10.1016\/j.ijscr.2020.05.071","journal-title":"Int J Surg Case Rep"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0216763","article-title":"Treatment-seeking for vaginal fistula in sub-Saharan Africa","volume":"14","author":"Gebremedhin S","year":"2019","unstructured":"Gebremedhin S, Asefa A. Treatment-seeking for vaginal fistula in sub-Saharan Africa. PLoS One. 2019, 14:e0216763. 10.1371\/journal.pone.0216763","journal-title":"PLoS One"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/codi.17207","article-title":"Identification of spontaneous patient-reported complaints related to perianal fistula in patients with Crohn's disease","volume":"26","author":"Bootsma L","year":"2024","unstructured":"Bootsma L, Vollebregt PF, van Bodegraven AA, van der Horst D, Han-Geurts IJ, Felt-Bersma RJ. Identification of spontaneous patient-reported complaints related to perianal fistula in patients with Crohn's disease. Colorectal Dis. 2024, 26:2057-2068. 10.1111\/codi.17207","journal-title":"Colorectal Dis"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7338.623","article-title":"Shame: the elephant in the room","volume":"324","author":"Davidoff F","year":"2002","unstructured":"Davidoff F. Shame: the elephant in the room. BMJ. 2002, 324:623-624. 10.1136\/bmj.324.7338.623","journal-title":"BMJ"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13744","article-title":"Shame anxiety, stigma and clinical encounters","volume":"28","author":"Dolezal L","year":"2022","unstructured":"Dolezal L. Shame anxiety, stigma and clinical encounters. J Eval Clin Pract. 2022, 28:854-860. 10.1111\/jep.13744","journal-title":"J Eval Clin Pract"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-064521","article-title":"Approaches to improving symptom appraisal: a systematic literature review","volume":"12","author":"Xiang L","year":"2022","unstructured":"Xiang L, Yoon S, Low AH, et al.. Approaches to improving symptom appraisal: a systematic literature review. BMJ Open. 2022, 12:e064521. 10.1136\/bmjopen-2022-064521","journal-title":"BMJ Open"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2017.236","article-title":"Evidence of advanced stage colorectal cancer with longer diagnostic intervals: a pooled analysis of seven primary care cohorts comprising 11\u2009720 patients in five countries","volume":"117","author":"T\u00f8rring ML","year":"2017","unstructured":"T\u00f8rring ML, Murchie P, Hamilton W, et al.. Evidence of advanced stage colorectal cancer with longer diagnostic intervals: a pooled analysis of seven primary care cohorts comprising 11\u2009720 patients in five countries. Br J Cancer. 2017, 117:888-897. 10.1038\/bjc.2017.236","journal-title":"Br J Cancer"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)00623-8","article-title":"Persistent physical symptoms: definition, genesis, and management","volume":"403","author":"L\u00f6we B","year":"2024","unstructured":"L\u00f6we B, Toussaint A, Rosmalen JGM, et al.. Persistent physical symptoms: definition, genesis, and management. The Lancet. 2024, 403:2649-2662. 10.1016\/S0140-6736(24)00623-8","journal-title":"The Lancet"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13187","article-title":"Anal fistula and pilonidal sinus disease coexisting simultaneously: an audit in a cohort of 1284 patients","volume":"16","author":"Garg P","year":"2019","unstructured":"Garg P. Anal fistula and pilonidal sinus disease coexisting simultaneously: an audit in a cohort of 1284 patients. Int Wound J. 2019, 16:1199-1205. 10.1111\/iwj.13187","journal-title":"Int Wound J"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0373","article-title":"Management of pilonidal disease: a review","volume":"158","author":"Gil LA","year":"2023","unstructured":"Gil LA, Deans KJ, Minneci PC. Management of pilonidal disease: a review. JAMA Surg. 2023, 158:875-883. 10.1001\/jamasurg.2023.0373","journal-title":"JAMA Surg"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58050567","article-title":"Inflammatory bowel disease: clinical diagnosis and surgical treatment-overview","volume":"58","author":"M'Koma AE","year":"2022","unstructured":"M'Koma AE. Inflammatory bowel disease: clinical diagnosis and surgical treatment-overview. Medicina (Kaunas). 2022, 58:567. 10.3390\/medicina58050567","journal-title":"Medicina (Kaunas)"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1579778","article-title":"Ethical principles across countries: does 'ethical' mean the same everywhere?","volume":"13","author":"Kaczmarek A","year":"2025","unstructured":"Kaczmarek A, \u017bok A, Baum E. Ethical principles across countries: does 'ethical' mean the same everywhere?. Front Public Health. 2025, 13:1579778. 10.3389\/fpubh.2025.1579778","journal-title":"Front Public Health"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/433755-undiagnosed-sacrococcygeal-fistulas-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T14:31:49Z","timestamp":1767277909000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/433755-undiagnosed-sacrococcygeal-fistulas-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,1]]},"references-count":19,"URL":"https:\/\/doi.org\/10.7759\/cureus.100561","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1,1]]}}}