Can a pilonidal cyst turn into a fistula?

Only sometimes pilonidal disease can produce an abscess which reaches anus, mimicking an anterior anal fistula. In our case report we observed this phenomenon associated with the presence of a posterior anal fistula, with a common abscess’s cavity.

Is pilonidal sinus and fistula same?

The main distinguishing feature compared to a perianal fistula is that a pilonidal sinus does not communicate with the anal canal; if there is any uncertainty on initial inspection, a rigid sigmoidoscopy or MRI imaging can be performed to assess for any internal opening of a tract.

How long does it take for a pilonidal cyst to heal after surgery?

If the cut (incision) was closed with stitches, it will probably take about 4 weeks to completely heal. If your incision is left open, it may take from a few weeks to several months to heal. After the incision has healed, you will have a scar where the cyst was removed. This will fade and become softer with time.

Can a pilonidal cyst be removed by incision?

Pilonidal cysts usually occur when hair punctures the skin and then becomes embedded. If a pilonidal cyst becomes infected, the resulting abscess is often extremely painful. The cyst can be drained through a small incision or removed surgically. Pilonidal cysts most commonly occur in young men, and the problem has a tendency to recur.

What is the code for excision of the complicated pilonidal?

A simple excision (11770 Excision of pilonidal cyst or sinus; simple) is closed in only one layer. If several layers of closure are required and the documentation indicates extensive or complicated; turn to 11771 Excision of pilonidal cyst or sinus; extensive or 11772 Excision of pilonidal cyst or sinus; complicated.

Is there an incision for pilonidal sinus disease?

PILONIDAL SINUS EXCISION – small incision & closed wounds (no need to lay open!) Pilonidal sinus disease is a tract with an opening on the skin leading to a collection of hair.

Where is a pilonidal cyst located on the spine?

A pilonidal cyst is a sac under the skin at the base of the spine. It can become infected. When it does the physician will use a scalpel to excise the adjacent tissue. Code selection is based on whether the excision of the cyst is simple, extensive, or complicated.