HomeAnswersGeneral Surgerypilonidal cystI have a pea-sized lump over the hip cleft. What is it?

Why do I have a pea-sized lump over the cleft of my hips?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At January 27, 2022
Reviewed AtOctober 6, 2023

Patient's Query

Hello doctor,

Two years back, I noticed a pea-sized lump on my skin over the cleft of my hips. It pains slightly when pressed hard. There is also a sacral dimple on it. Recently out of curiosity, I checked it on the internet and found out that it is called a pilonidal cyst. I also have a hairy body. I have never noticed any discharge, pain, or infection in the area. Should I be concerned about this? Does it require medical intervention? Can it get worse if left untreated? Could you please give me your opinion on this?

Thank you.

Hello,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern.

Yes, you got a pilonidal cyst associated with the formation of the pilonidal sinus. It seems like it is not infected, but ultimately, it gets complicated with time. Hence, it needs a surgical intervention that is excision of cyst preferably and open healing with secondary intention. In addition to this, take measures like cleaning and shaving that area regularly and avoid sitting too long.

I hope this helps.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Kashif Humayun
Dr. Muhammad Kashif Humayun

General Surgery

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