Coccygeal Epithelial Course

The coccygeal epithelial tract is a developmental anomaly - a blindly ending tubular depression of the skin in the intergluteal fold, usually containing deflated epithelium, fat and hair (primary tract). When the drainage of the coccygeal duct is blocked or disrupted, a retention cyst is formed, an inflammatory process occurs, and purulent streaks form, often opening on the skin with a purulent fistula (secondary tract).

Symptoms and course. There is mucous and purulent discharge from the mouth of the coccygeal passage, periodic exacerbation of pain in this area with an inflammatory reaction of the skin around, and sometimes with an increase in body temperature, the formation of an abscess and multiple secondary purulent fistulas.

The diagnosis is made by the characteristic localization of the process, the presence of the external opening of the coccygeal passage 2-3 cm above the edge of the anus in the intergluteal fold. In this case, a connection between the fistula and the rectum is never detected.

Surgical treatment is complete excision of the stained fistula tracts within healthy tissue.

The prognosis is favorable after radical surgery.