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Anatomical landmarks, back view
Anatomical landmarks, back view
Pilonidal cyst and dimple
Pilonidal cyst and dimple


Pilonidal dimple

Alternative Names:
Sacral dimple

Home Care:

Keep pilonidal dimples clean and free of debris during regular bathing. Report any drainage of fluid from the dimple, either clear or containing pus, to your health care provider.



Call your health care provider if:
  • you note swelling, redness, drainage or tenderness around the pilonidal dimple.


What to expect at your health care provider's office:

The medical history will be obtained and a physical examination performed. In the vast majority of cases, the examining physician will merely comment that your infant or child has a pilonidal dimple and that you should not worry. On the rare occasion (when other findings may be associated), you may be asked the following information:

Medical history questions documenting pilonidal dimple in detail may include:

  • Has there been any change in the appearance of the pilonidal dimple?
  • Has there been any drainage from the dimple?
  • Are any other symptoms developing?
  • What other symptoms are also present?
  • Is there any numbness or loss of movement in the legs?
  • Has there been any change in bladder control?

If the lesion is an infected pilonidal cyst, surgery to remove the cyst may be recommended. Studies may be done to determine if the sinus extends into the spinal cord.




Review Date: 5/3/2006
Reviewed By: Michael S. Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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