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Pilonidal cyst

A pilonidal cyst is a closed sac under the skin at the top of the crease of the buttocks. Pilonidal cysts usually do not cause problems unless they become infected.

The cause of a pilonidal cyst is unclear. They usually occur in men in their late teens through 20s, although they are occasionally noticed at birth as a depression or sometimes as a hairy dimple.

Symptoms of an infected pilonidal cyst (abscess) include:

  • Pain.
  • Swelling and redness.
  • Drainage of pus and/or blood.
  • Fever.

If a pilonidal cyst develops a long-lasting or frequently recurring infection, it is called pilonidal disease. Treatment includes surgical drainage or surgical removal.

Author Jeannette Curtis
Author Caroline Rea, RN, BS, MS
Editor Kathleen M. Ariss, MS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Associate Editor Pat Truman
Primary Medical Reviewer Patrice Burgess, MD
- Family Medicine
Primary Medical Reviewer Adam Husney, MD
- Family Medicine
Primary Medical Reviewer Kathleen Romito, MD
- Family Medicine
Last Updated May 25, 2007

WebMD Medical Reference from Healthwise

Last Updated: May 25, 2007
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.