Pilonidal cyst

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Symptoms

By Mayo Clinic staff

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Image of a pilonidal cyst Pilonidal cyst

A pilonidal cyst may cause no noticeable symptoms (asymptomatic). The only sign of its presence may be a small pit on the surface of the skin.

When it's infected, a pilonidal cyst becomes a swollen mass (abscess). Signs and symptoms of an infected pilonidal cyst include: 

  • Pain
  • Localized swelling
  • Reddening of the skin
  • Drainage of pus or blood from an opening in the skin (pilonidal sinus)
  • Foul smell from draining pus
  • Hair protruding from a pilonidal sinus
  • Fever (uncommon)

A pilonidal sinus may appear as a tract, a passage below the surface of the skin that connects the infected pilonidal cyst to the opening on the skin's surface. More than one sinus tract may form to drain a single infected cyst.

DS00747

June 17, 2008

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