Article Text
Emergency casebook
An unusual cause of pilonidal sinus
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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 …