If its not treated, a pilonidal cyst can possibly lead to an abscess or a sinus cavity. Its a recurrent sinus. In some cases, people will not require any treatment for a pilonidal sinus and it may resolve by itself, according to ASCRS. Front Surg. Tenderness to the touch. According to the American Society of Colon and Rectal Surgeons (ASCRS), the cause of pilonidal sinus is not clear. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Here is a patient who presented with a huge primary pilonidal wound (never has had surgery). Pilonidal cysts are fluid-filled sacs that develop on the tailbone at the top of the buttocks. Sitting for long periods, not keeping the area clean, and having obesity are also thought to contribute to developing a pilonidal cyst. Surgery may also lead to complications, such as: In rare cases, pilonidal sinus may have a link to osteomyelitis, swelling or inflammation of the bone, or skin cancer. A pilonidal (pie-luh-NIE-dul) cyst that's infected is called a pilonidal abscess. A pilonidal cyst is almost always near the tailbone at the top of the buttocks. Johnson EK, Vogel JD, Cowan ML, Feingold DL, Steele SR. A pilonidal sinus (PNS) is a small hole or tunnel in the skin. A skin abscess or boil is a bump on or below the skins surface and usually contains pus or clear fluid. This immune response forms the cyst around your hair. For the first time in years, he was able to return to athletics. Amber J. Tresca is a freelance writer and speaker who covers digestive conditions, including IBD. Understanding the Contents of a Pilonidal Cyst. It can develop when hairs or a hair follicle get trapped deep into the skin. Plast Reconstr Surg Glob Open. People will have a general anesthetic, and a surgeon will either cut out the sinus or open it up. 1. That hair and debris has been removed in photo 6. The cyst can become infected and form an abscess (a pocket of infection) that progresses to a fistula (an abnormal connection between two organs or an organ and the skin). Learn more about how they form, how to prevent them, and the treatments available. In some cases, if the surgery is more extensive, there could be a need for general anesthesia and being hospitalized. If we combine this information with your protected Reviewed by Melissa Conrad Stoppler, MD on August 11, 2008. The body creates a cyst around the hair to try to push it out. Cleveland Clinic is a non-profit academic medical center. The inflammation from a pilonidal cyst can be treated at home but the cyst will not go away. We are changing our insurance coverage. the unsubscribe link in the e-mail. Surgery is the most reliable method for treating and removing a pilonidal sinus, but it can come with possible complications, such as poor wound healing. Cleft Lift Healing Pictures. This treatment has a very high recurrence rate. Please note, these are pictures of a medical disease and frequently involve open wounds and post-surgical pictures. The drain comes through the lower portion of the skin incision and passes through a skin opening that I create near the top of the flap. Mayo Clinic Staff. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Skin reddening. Reducing the abscess can help make the pilonidal sinus more visible and easier to treat. Management of sacrococcygeal pilonidal sinus disease. These include wound infection and a recurrence of the PNS even after surgery. These cookies ensure basic functionalities and security features of the website, anonymously. PMID: 33171038 PMCID: PMC8134928 DOI: 10.3393/ac . The Pilonidal Support Alliance is a California Non-Profit Corp and tax exempt under IRS 501(c) (3). And truly. With the more invasive treatments, you have a lower risk of the cyst returning, though. Pilonidal disease is described back as far as 1833, when Mayo described a hair-containing cyst located just below the coccyx. It may stay small or grow larger. Terms of Use. So the left side of the photo represents the left side of the patient. Pilonidal cysts are a common condition, with more than 70,000 cases reported in the U.S. every year. You may not have any noticeable symptoms at first other than a small, dimple-like depression on the surface of your skin. Ingrown Hair vs. Having had one experience two years ago, I thought I was done. Eventually, a cyst forms around the hair. A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks anywhere from the tailbone to the anus. These cysts should be diagnosed and treated by a healthcare professional, preferably one with experience in surgical treatments for this condition. They will clean away any hair, blood, and pus from inside the abscess. This technique involves removing the hair, skin, and underlying tissue from the sinus tract as a single unit as shown in the pilonidal cyst surgery pictures. With irritation from direct pressure, over time the inflamed area enlarges to become a firm, painful, tender nodule making it difficult to sit without discomfort. Elsevier; 2023. https://www.clinicalkey.com. If infection is severe, blood tests may be performed for diagnosis. doi: 10.1093/jscr/rjaa205. Identifying a pilonidal sinus and recognizing signs of infection. Treatments for pilonidal disease. Some risk factors for a pilonidal cyst include being male, being younger than 40, having lots of hair in the area, and having a deep split between the buttocks (natal cleft). Dis Colon Rectum. Pilonidal cysts are less common in people over the age of 40. Pilonidal cysts are a common condition, with more than 70,000 cases reported in the U.S. every year. Surgeons may use either traditional surgery with a scalpel or endoscopic surgery to open the sinus. The cyst can then be opened with an incision and drained of any fluid it contains. (2015). Although a pilonidal cyst is not life-threatening itself, it can become more difficult to treat and turn into a chronic condition if you dont quickly seek help. Accessed Sept. 21, 2022. A pilonidal cyst is an unusual pocket in the skin that usually contains hair and skin debris. A quick reference in FAQ format on the Disease for those who just want some fast, basic information for research. A pilonidal cyst, also known as pilonidal disease or pilonidal sinus, is a skin condition characterized by the presence of an abnormal sac-like structure in the skin filled with hair, fluid, and skin debris. Signs that the wound is infected include: You can prevent recurrence of PNS by washing the area on a daily basis with a mild soap, making sure all soap is removed, keeping the area completely dry, and avoiding sitting for long periods. The abscess might causepain and swelling. Some aren't visible, while others can look like a small pit or dimple in the skin. Concept of infected. Can diet help improve depression symptoms? One way that doctors can treat an infected cyst is with the Gips procedure. Click here for an email preview. other information we have about you. Step by step. We avoid using tertiary references. Theyll also tell you the warning signs of infection and when you should call your provider. Afterward, the surgeon might either leave the wound open for packing (inserting gauze) or close the wound with sutures or a skin flap (skin taken from a healthy part of your body). The two primary procedures used to treat pilonidal cysts include: Incision and drainage. Day after a day. Sci Rep. 2020;10:13720. doi:10.1038/s41598-020-70641-7, Sert OZ. A single copy of these materials may be reprinted for noncommercial personal use only. Tailgut cyst: from differential diagnosis to surgical resection-case report and literature review, Pilonidal sinus disease: Review of current practice and prospects for endoscopic treatment, A painful lump at the bottom of the spine/top of the buttocks. The verical black lines mark the line of skin contact of both buttock cheeks. The cyst might come back in between 10% and 20% of cases. It occurs in the cleft at the top of the buttocks. He had a successful cleft lift and is already back to participating in sports and school again. Ferri FF. A breast abscess is a pus-filled lump caused by an infection. Here is a classic example of very symptomatic, primary pilonidal disease. You can also try using a hair removal product to avoid getting ingrown hairs. Most people can go back to work and most activities after 2 to 4 weeks. They are especially found in teens and young males until their early 30s. The laser therapy SiLaC is a safe and effective procedure with excellent healing, minimal wound surfaces, and impressive aesthetic . In most cases, the cavity is filled with nests of . Pus or blood draining out of it. It usually starts as an infection of a hair follicle in the area. This article will discuss the possible symptoms, causes, and treatments for pilonidal cyst. A PNS. Overall, the outlook for pilonidal sinus is very good and rarely has any long-term harmful effects. A pilonidal sinus is a small tunnel under the skin above the buttocks crease. A pilonidal cyst is a small sac that forms along the tailbone (coccyx), at the top of the cleft between the buttocks. Necessary cookies are absolutely essential for the website to function properly. This is a patient who underwent a wide excisional operation for his symptomatic pilonidal disease in Texas. This common type of cyst is located in the crease of the buttocks and is usually caused by a skin infection. But if it's infected, the skin around the cyst may be swollen and painful. If you have chronic pilonidal cysts, your symptoms may come and go over time. The more conservative treatments for pilonidal cysts, such as drainage, are unfortunately associated with recurrence. Another surgeon performed two wide excisional operations, both of which have failed. A pilonidal cyst is a swelling that starts under the skin on the sacrum near the tailbone. Learn more about the uses of endoscopic surgery. If theyre not treated, chronic pilonidal cysts can also lead to abscesses (swollen pockets of infection) and sinus cavities (empty spaces underneath the skin). 4.2 4.2 out of 5 stars (11,971) $37.95 $ 37. Last medically reviewed on September 7, 2017, A mucous cyst develops when the mouths salivary glands become plugged with mucus. These steps include: A pilonidal cyst is not fatal in itself. Your provider will start by giving you a full physical examination. This is usually the pilonidal cyst. If a pilonidal cyst becomes infected, it can be very painful. Perineural cysts, also known as Tarlov cysts, are fluid-filled sacs that form on nerves at the base of spine. Caring for the area after treatment is important. Your provider might spot what looks like a pimple or oozing cyst. In some cases, a pilonidal sinus may resolve by itself, but people may require treatment, such as abscess drainage or sinus removal. Before your procedure, take time off work, and stock up on essentials like ice packs, high-fiber foods, pain medications and laxatives. Regularly washing and drying your buttocks (to keep the area clean). They may use general or regional anesthesia to manage your pain. Pilonidal cysts are common in young men. Those are both signs that the skin infection is getting worse. Save 10% on 3 select item(s) FREE delivery Thu, Mar 9 . If people do require treatment, it may include the following: In minor cases, hair removal may be the first step in treating a pilonidal sinus, if infection is not present. The symptoms of a pilonidal cyst include: Pain, redness, and swelling at the bottom of the spine. Most pilonidal cysts form on the tailbone. It's usually located near the tailbone at the top of the buttocks crease. skin problems - moles, cherry angiomas, cysts and surgery scar - skin cyst stock pictures, royalty-free photos & images. What causes perianal abscess? It is important that you are mentally prepared before taking any surgical procedure. Ann Med Surg (Lond). Find Skin Cyst stock photos and editorial news pictures from Getty Images. You will be able to notice some pus coming out while your wound heals. If you have a chronic pilonidal cyst or it has gotten worse and formed a sinus cavity under your skin, its a serious case and you may need surgery to excise (remove) the cyst entirely. Cheers. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Last medically reviewed on January 6, 2022, Learn how fluid-filled lumps known as cysts can form around an ingrown hair. Depending on your symptoms, you might need to take some time off of work if you have a pilonidal cyst. Advertising revenue supports our not-for-profit mission. For recurrent pilonidal disease, the Bascom cleft lift (flap) procedure is an excellent option since it demonstrates a short wound healing time and a good success rate. skin center/ skin a-z list/ image collection a-z list/ pilonidal cyst picture article. Verywell Health's content is for informational and educational purposes only. During. American Society of Colon & Rectal Surgeons. Currently, many researchers believe that pilonidal cysts are caused by ingrown hairs. Sometimes, a pilonidal (pie-luh-NIE-dul) cyst can become infected. Your family history can play a role in determining if you get pilonidal cysts, for example if rough body hair runs in your family. Keep the wound dry for about a week. If you are diagnosed with one or more pilonidal cysts, you will receive a treatment plan that best fits your individual case. A Pilonidal Sinus or Cyst is a circular fluid-filled sac generally present beneath the skin in the lower back region or near the crease (line) of the buttocks. Antibiotics may help reduce infection and treat severe inflammation of the skin. His natal cleft is very scarred from the prior operations, which involved a wide excision and midline closure. The wound is then packed and closed with multiple stitches. Please note, that except where indicated, patients are photographed lying on their stomachs with their buttocks in view. 2019;116:12-21. doi:10.3238/arztebl.2019.0012, Gabor S, de Lima Favaro M, Pimentel Pedroso RF, et al. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. information highlighted below and resubmit the form. A PNS is a condition that mostly affects men and is also common in young adults. A pilonidal cyst usually contains hair, dirt, and debris. biggest pilonidal cyst from BackYard Gardener on Vimeo. 1996-2022 MedicineNet, Inc. All rights reserved. Body-wide infection can quickly become life-threatening. After the incision and drainage, gauze packing may be inserted into the opening. The incision was closed in the midline. A surgeon may also remove any inflamed tissue surrounding the area. After numbing the area, your health care provider makes a small cut to drain the cysts. A popliteal cyst, also known as a Baker's cyst, is a fluid-filled swelling that causes a lump at the back of the knee. A pilonidal sinus is a small tunnel under the skin above the buttocks crease. Pilonidal disease is a condition in which an abnormal pocket in the skin of the lower back is found, usually near the tailbone at the top of the cleft of the buttocks. Pilonidal cyst (sinuses) can . Sometimes, surgery is needed. Common symptoms of pilonidal cysts include: pain alongside skin discoloration and swelling pus or blood oozing from the cyst an odor from the pus pain when touched a fever Causes and. It mostly develops due to infection in the hair follicles. Aside from the pain you may feel, though, theres always a chance that a cyst can pose several long-term health issues. If people have a pilonidal sinus, they may have discomfort and irritation around the tailbone area. This photo demonstrates the island of skin that is typically removed during a the cleft lift procedure (outlined on the right). During World War II, pilonidal cysts were often called "Jeep driver's disease because theyre more common in people who sit often. Marsupialization is a surgical procedure by which your doctor will cut a slit into the abscess or cyst. If so, they may also ask you several questions, including: Very rarely, your provider may order a CT or MRI to look for any sinus cavities (little holes) which may have formed under the surface of your skin. Surgical cyst removal. You can see that he developed a huge chronic open wound very close to the anus. The terms cyst, sinus, and abscess refer to different stages of the disease process. Pilonidal Cyst. 2022;24:96-100. 2014;151:161. doi: 10.1016/j.jviscsurg.2014.02.001. A pilonidal cyst is a small sac that sticks up from inside the skin. A pilonidal cyst is an unnatural channel that leads from the skin to a hollow area within the tissue. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. You might also feel less pain when using an inflatable seat or mattress. If the cyst recurs or there are other complications, a more invasive surgery might be done. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public. It can grow almost anywhere in the body or under skin. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Cutaneous cysts. Pilonidal cysts often begin as tiny areas of infection in the base of the area of skin from which hair grows (the hair follicle ). Pilonidal disease is a type of skin infection which typically occurs as a cyst between the cheeks of the buttocks and often at the upper end. The white abscess cavity wall is preserved and used in the wound closure. This can result in inflammation and pus forming in an abscess. The cookie is used to store the user consent for the cookies in the category "Analytics". Also, if you have diabetes, you are at greater risk of developing pneumonia due to high blood sugar levels. A pilonidal cyst may cause symptoms, especially if it becomes infected. Pressure Sores, Pregnancy, Perineal Surgery, Postpartum Recovery. Here is a 19-year-old patient from Canada, who underwent a wide excisional operation 9 months ago. Here is an example of college student who has suffered from pilonidal disease since mid high school. privacy practices. Nearly everyone will experience an. She currently serves as the director of pharmacy practice of the New York State Council of Health-System Pharmacists. However, it does not work for everyone and requires multiple surgeries in some cases. July 30, 2021 By Recail. This article discusses causes, treatments, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Is regular depilation really necessary after a pilonidal sinus excision? There also might be a dressing on the area that needs to be changed. This is true especially if the condition has gotten worse or if pilonidal cysts run in your family. If your case is diagnosed early on, you arent experiencing severe pain, and theres no sign of inflammation, its likely that your doctor will prescribe a broad-spectrum antibiotic. Until you have completely healed, you will need to avoid . Medical Illustrations Picture of Pilonidal Cyst A pilonidal cyst is a unique kind of abscess that occurs in or above the crease of the buttocks. A pilonidal dimple is a small pit or sinus in the sacral area just at the top of the crease between the buttocks. mayoclinic.org/diseases-conditions/pilonidal-cyst/basics/symptoms/con-20025007, How to Spot and a Treat a Blood-Filled Pimple, Sebaceous Cyst: Causes, Symptoms, Treatments, and More, pus or blood draining from the abscess, causing a foul odor, formation of more than one sinus tract, or holes in the skin, blood and pus seeping from the wound site. Surgery may take around 30 minutes, depending on the procedure. The fluid might be constant or only happen from time to time, The fluid could be watery and thin, or it could be thicker and milky. The doctors sutures the edges of the slit around the cyst to make a continuous surface. This site complies with the HONcode standard for trustworthy health information: verify here. If your incision is left open, it may take from a few weeks to several months to heal. It is also necessary to keep the buttocks crease and wound area free from hair. Some may be disturbing. A broad-spectrum antibiotic is an antibiotic that treats a wide range of bacteria. The last two photos show the immediate final result with the drain in place. March 27, 2022 By Recail. This photo shows a pilonidal sufferer standing. Our website services, content, and products are for informational purposes only. Accessed Sept. 21, 2022. We also use third-party cookies that help us analyze and understand how you use this website. Eventually, this treatment will cause the lesion to harden and close. A pilonidal cyst is a cystic structure that develops along the tailbone (coccyx) near the cleft of the buttocks, approximately 4 cm-5 cm from the anus. Policy. This minor procedure is typically performed by a colorectal surgeon. Submit a Patient Testimonial. Symptoms of an infected pilonidal cyst include: If you notice any symptoms of a pilonidal cyst, see your health care provider. We avoid using tertiary references. Treatment. There are a number of complications that may arise from PNS. Your provider will tell you how to keep your wound clean (including shaving the area) and how long you should keep it covered. After surgery, your doctor will explain how to change the dressings and will recommend shaving the site to prevent hair from growing into the wound. These cysts usually contain hair and skin debris. Studies have been done on the benefits of removing hair in the area to reduce the risk of recurrence. He had 3 previous operations from other surgeons, all of which failed. A pilonidal cyst is a unique kind of abscess that occurs in or above the crease of the buttocks. Pilonidal means "nest of hair," and doctors sometimes find hair follicles inside the cyst. Sinus laser ablation of the pilonidal cyst SiLaC is a minimally-invasive procedure that uses laser ablation to eliminate coccyx fistulas or pilonidal cysts. Please read our office policies to better understand how this may affects you. A few weeks after abscess drainage, people may have a procedure called pit picking. Pilonidal sinus is also known as pilonidal cyst disease. Discover 14 types, An open wound is an injury involving an external or internal break in your body tissue, usually involving the skin. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://fascrs.org/patients/diseases-and-conditions/a-z/pilonidal-disease), (https://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/pilonidal-disease?query=pilonidal%20disease). Individuals with a pilonidal cyst may not have any symptoms at all (termed asymptomatic), whereas others may develop an infection of the cyst with associated pain and inflammation. This website uses cookies to improve your experience while you navigate through the website. Start here, then see a doctor to be sure. The evidence that permanent hair removal might help lower the risk of a cyst returning is considered weak. Sometimes a person may have multiple sinuses that connect under the skin. Pilonidal cyst: Symptoms. If the patient follows the advice of the physician and gets regular check-ups, the long-term outcome is good. 7th ed. A pilonidal cyst looks like a lump, swelling, or abscess at the cleft of the buttock with tenderness, and possibly a draining or bleeding area (sinus). Symptoms can range from mild to severe, depending on the level of infection. Here is a photo of the debris and hair commonly removed from the chronic abscess of a chronic pilonidal sufferer at the time of cleft lift surgery. People with a pilonidal sinus need to take care of the area to prevent future abscesses and infections. It may help to have a partner assist or see if a home-care nurse is available. The shaded area is thenatal cleft. There may also be drainage of fluid, but rarely a fever. The Cleft Lift result is shown. To provide you with the most relevant and helpful information, and understand which Have you also had any other skin issues (like an abscess or sinus) in the same area? Make a donation. The verical black lines mark the line of skin contact of both buttock cheeks. All rights reserved. The minimally invasive laser solution of Pilonidal Cyst. If you have a recurring PNS or if you have more than one sinus tract, your doctor will recommend a surgical procedure. 2020;57:212-217. doi: 10.1016/j.amsu.2020.07.050. This Procedure involves draining the fluid and removing any debris from the cyst. A doctor injects a local anesthetic before making an incision into the abscess. Cyst not infected Abscess pocket of pus Sinus opening between a cyst or other internal structure and the outside information is beneficial, we may combine your email and website usage information with Pristyn Care Team Updated on 15th December 2022 Social share: This cookie is set by GDPR Cookie Consent plugin. Alternatively, trapped hair follicles may lead to hair and bacteria entering the skin. https://fascrs.org/patients/diseases-and-conditions/a-z/pilonidal-disease. There is never a need for urgent surgery for pilonidal disease. Hodge coined the term "pilonidal" from its Latin origins in 1880 and today, pilonidal disease describes a spectrum of clinical presentations, ranging from asymptomatic hair-containing cysts and sinuses to large symptomatic abscesses that have some tendency to recur []. Rosin D. Pilonidal disease: Keep it simple! Some aren't visible, while others can look like a small pit or dimple in the skin. Some aren't visible, while others can look like a small pit or dimple in the skin. If it becomes infected, it may ooze pus and blood and have a foul odor. A pilonidal cyst is a round sac of tissue that's filled with air or fluid. If youre experiencing pain in your buttocks, it could be a sign of a pilonidal cyst and not just a normal discomfort of pregnancy. In photo 5, the skin island has been removed and the abscess is revealed. This cookie is set by GDPR Cookie Consent plugin. Blood-filled pimples happen as a result of picking or popping a pimple. It is filled with hair. The wound never healed and has enlarged over time. Its usually best in that case to contact your provider and get checked. Photo 4 shows that the lowest opening connects through a long abscess cavity to the top draining sinus. These cysts are usually caused by a skin infection and they often have ingrown hairs inside. pilonidal cyst almost always involves hair trapped in a red, swollen, cyst (closed sac) beneath the skin for long periods of time . . The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Pilonidal Disease. Analytical cookies are used to understand how visitors interact with the website. It is important that you are mentally prepared before taking any surgical procedure. Pilonidal disease with hair containing cysts, sinuses or abscesses, typically located near the tailbone at the top of cleft of buttocks. The cyst can be drained through a small cut in the skin. Posted in Cyst Popping Tagged pilonidal cyst pop video, pilonidal cyst popped on its own, pilonidal cyst surgery pictures, pilonidal cyst video, pilonidal sinus, pilonidal sinus pictures., pilonidal sinus surgery, video showing bad pilonidal cysts Post navigation A pilonidal cyst is a fluid-filled developmental defect at the base of the spine. Complex or recurrent pilonidal disease. How should you treat an ingrown hair cyst? In: McKee's Pathology of the Skin. People will have a local anesthetic and a doctor will cut out the pit, or sinus. Terms of Use. People may need to keep removing hair every 23 weeks until they reach the age of 30, in which hair may thin out and soften. An infected pilonidal cyst often looks like a tender, swollen lump near the cleft of the buttocks. 2017;15:65. doi:10.1186/s12957-017-1129-0. Accessed Sept. 21, 2022. Pilonidal Sinus Cyst Surgery Success Rate: It has been seen that pilonidal cyst surgery has a success rate of more than 90% as long as the cyst is big enough or if it has been drained before. Depending on how people respond to surgery, they may be able to return to work within 23 weeks. Incision and Drainage -. A pilonidal cyst can contain hair, skin fragments, and other tissue. The most common reason why people have problems with their pilonidal sinuses is because they do not follow proper procedure or do not take enough precautions before the operation. Sebaceous cysts are common, noncancerous cysts of the skin. There are several different procedures that might be used. The infection occurs when bacteria gets trapped in the crypt glands that line the anal canal. A pilonidal cyst is a round sac of tissue that's filled with air or fluid. Smoking status also increases the chance of developing pneumonia. Information, treatments, and support for Pilonidal Disease patients and medical professionals.