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J Accid Emerg Med 2000;17:232 doi:10.1136/emj.17.3.232
  • Emergency casebook

An unusual cause of pilonidal sinus

  1. J P Sloan,
  2. J Brenchley
  1. Leeds General Infirmary, Leeds LS1 3EX
  1. Correspondence to: Dr Brenchley, Specialist Registrar, Accident and Emergency Department (e-mail: jbrench{at}globalnet.co.uk)

    A 55 year old abattoir worker presented to the local minor injury unit with a two day history of pain and swelling of third web space of his left hand. He thought this might have been attributable to a thorn from a sheep's fleece breaking the skin. This was initially treated as a soft tissue infection with elevation, oral antibiotics and GP follow up. He returned two days later as there had been no improvement and was …

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