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Published in: European Spine Journal 1/2016

01-05-2016 | Case Report

A rare cause of recalcitrant coccydynia: benign dermoid cyst masquerading as coccygeal pain

Authors: Chandrasekhar V. Gaike, Rishi M. Kanna, Ajoy P. Shetty, S. Rajasekaran

Published in: European Spine Journal | Special Issue 1/2016

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Abstract

Purpose

Coccydynia is a common entity in orthopedic practice, and various etiologies have been described for it. However, benign dermoid cyst causing coccydynia has not yet been reported.

Methods

A 20-year-old male presented with typical symptoms of coccydynia recalcitrant to conservative treatment for 2 years. Since pain interfered with his daily activities, magnetic resonance imaging was performed which showed a circumscribed precoccygeal cystic lesion.

Results

The patient underwent coccygectomy along with cyst excision. Histological examination revealed features of benign dermoid cyst. After surgery, the patient had excellent relief of his symptoms.

Conclusion

The case report identifies that the treating surgeon should be aware of benign dermoid cyst as one of the treatable but rare causes of intractable coccydynia, and MRI should be performed in patients with persistent coccygeal pain.
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Metadata
Title
A rare cause of recalcitrant coccydynia: benign dermoid cyst masquerading as coccygeal pain
Authors
Chandrasekhar V. Gaike
Rishi M. Kanna
Ajoy P. Shetty
S. Rajasekaran
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue Special Issue 1/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-015-4354-7

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