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Infected pilonidal cyst. A) Natal cleft with small opening. B) Using high frequency linear probe with a layer of gel to scan the natal cleft area. C) Ultrasonographic sagittal view showing the pilonidal cyst and hair within (arrow) and the single pit (arrow head). No craniocaudal extension. D) Post excision.

Infected pilonidal cyst. A) Natal cleft with small opening. B) Using high frequency linear probe with a layer of gel to scan the natal cleft area. C) Ultrasonographic sagittal view showing the pilonidal cyst and hair within (arrow) and the single pit (arrow head). No craniocaudal extension. D) Post excision.

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Pilonidal sinus is a common problem encountered in proctology clinics. It has a wide spectrum of clinical picture ranging from a single asymptomatic pit to a more complex disease with multiple sinuses and secondary openings. Hence, the treatment options could range from observation or simple excision to a more radical approach like flap surgeries....

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