Abstract
Pilonidal sinus is a disease in which chronic inflammation occurs due to involution of hair fragments into skin. Intra-anal pilonidal sinus is extremely rare condition and only 10 cases have been reported in literature, where most of them had previous history of anal or pilonidal sinus surgery. A 22 years’ male presented with the complaints of purulent discharge per rectum and itching around peri anal region on and off for 3 months. No history of previous peri anal surgery or pilonidal surgery. Proctoscopy revealed opening of sinus at 6’o clock position. Intra operatively sinus tract laid open and tuft hair was removed and cavity curetted. His post operative period was uneventful.
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