• Eur Spine J · May 2016

    Case Reports

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

    • Chandrasekhar V Gaike, Rishi M Kanna, Ajoy P Shetty, and S Rajasekaran.
    • Orthopedics Department, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, Tamil Nadu, 641043, India.
    • Eur Spine J. 2016 May 1; 25 Suppl 1: 194-7.

    PurposeCoccydynia 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.MethodsA 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.ResultsThe 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.ConclusionThe 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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