ABSTRACT

Pilonidal sinus is known as simple condition which has a high incidence. But it may become as a chronic and complicated disease that typically occurs in the intergluteal region. In some cases the disease may show extension to perianal region in caudal course and can present with secondary perianal openings. These complex cases with secondary openings may create problems in diagnosis and treatment when the secondary openings are close to the anus. In this case a single-stage surgical procedure for treatment of sacrococcygeal pilonidal disease with secondary perianal opening was described.