{"id":106,"date":"2026-09-17T04:38:15","date_gmt":"2026-09-17T04:38:15","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=106"},"modified":"2026-10-19T16:15:48","modified_gmt":"2026-10-19T16:15:48","slug":"enfermedad-pilonidal-sacrococcigea","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/enfermedad-pilonidal-sacrococcigea\/","title":{"rendered":"Enfermedad pilonidal sacrococc\u00edgea"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"106\" class=\"elementor elementor-106\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-997becc e-con-full e-flex e-con e-parent\" data-id=\"997becc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-73f3528 e-con-full e-flex e-con e-child\" data-id=\"73f3528\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element 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class=\"ph1\">Enfermedad pilonidal sacrococc\u00edgea<\/h1><p class=\"plead\">Frecuente en personas j\u00f3venes. El drenaje y los antibi\u00f3ticos resuelven la urgencia; el tratamiento definitivo es quir\u00fargico electivo<\/p><\/div><div class=\"pdoc\"><p class=\"pdn\">Dr. Nelson Mu\u00f1oz P\u00e9rez<\/p><p class=\"pdr\">Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"pbtn\" href=\"#\"><svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div><\/div><\/div>\r\n<div class=\"psec\"><div class=\"pw pnarrow\"><span class=\"psec-k\">La perspectiva del cirujano<\/span><h2 class=\"ph2\">No es un quiste verdadero, ni un c\u00e1ncer, ni se debe a falta de higiene.<\/h2><p class=\"pbody\">La enfermedad pilonidal se ubica en el pliegue entre los gl\u00fateos, sobre el coxis. Bajo la piel se forma una cavidad que contiene pelos sueltos y restos de piel; el cuerpo los reconoce como un cuerpo extra\u00f1o y genera una inflamaci\u00f3n cr\u00f3nica que con el tiempo puede infectarse. Aunque se conoce popularmente como \u00abquiste pilonidal\u00bb, no es un quiste verdadero, no es un c\u00e1ncer, no es contagioso y no se debe a falta de higiene.<\/p><p class=\"pbody\">Aparece t\u00edpicamente en pacientes j\u00f3venes y activos, y muchas veces el primer episodio se vive como algo aislado: un bulto doloroso sobre el coxis que se drena y parece resuelto.<\/p><p class=\"pbody\">El tratamiento definitivo se planifica con la zona ya desinflamada, y se elige caso a caso: la extensi\u00f3n de la enfermedad, si es un primer episodio o una recurrencia, y qu\u00e9 recuperaci\u00f3n puedes asumir.<\/p><blockquote class=\"pquote\">\"El drenaje resuelve la urgencia; el tratamiento definitivo se planifica despu\u00e9s, con la zona desinflamada.\"<\/blockquote><\/div><\/div>\r\n<div class=\"psec psoft\"><div class=\"pw\"><span class=\"psec-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span><h2 class=\"ph2\">S\u00edntomas m\u00e1s comunes<\/h2><div class=\"pgrid\"><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Uno o varios orificios peque\u00f1os en la l\u00ednea media del pliegue, a veces con un pelo asomando, sin dolor ni secreci\u00f3n<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Dolor y aumento de volumen en el pliegue intergl\u00fateo, sobre el coxis<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Enrojecimiento y calor local<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Dificultad para sentarse o acostarse boca arriba<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Secreci\u00f3n clara, sanguinolenta o purulenta, que mancha la ropa interior<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Fiebre o decaimiento cuando hay un absceso activo<\/div><div class=\"pcard\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Episodios repetidos de inflamaci\u00f3n en el mismo lugar<\/div><\/div><\/div><\/div>\r\n<div class=\"psec\"><div class=\"pw\"><span class=\"psec-k\">Clasificaci\u00f3n<\/span><h2 class=\"ph2\">Tres formas de presentaci\u00f3n<\/h2><div class=\"pclass\"><div class=\"pclass-card\"><span class=\"pclass-name\">Asintom\u00e1tica<\/span><p class=\"pclass-text\">Orificios en la l\u00ednea media detectados de forma casual, sin dolor ni supuraci\u00f3n.<\/p><\/div><div class=\"pclass-card\"><span class=\"pclass-name\">Absceso agudo<\/span><p class=\"pclass-text\">Dolor intenso y creciente, con aumento de volumen, enrojecimiento y a veces fiebre. Es la forma que motiva la consulta de urgencia.<\/p><\/div><div class=\"pclass-card\"><span class=\"pclass-name\">Enfermedad cr\u00f3nica<\/span><p class=\"pclass-text\">Molestia persistente o intermitente, con secreci\u00f3n y episodios repetidos de inflamaci\u00f3n.<\/p><\/div><\/div><div class=\"pnote\">El diagn\u00f3stico es cl\u00ednico y basta con el examen f\u00edsico de la zona. Solo en casos complejos, recurrentes o con dudas frente a otros diagn\u00f3sticos \u2014una f\u00edstula anal o una hidradenitis\u2014 se solicita una ecograf\u00eda de partes blandas o una resonancia magn\u00e9tica.<\/div><\/div><\/div>\r\n<div class=\"psec psoft\"><div class=\"pw\"><span class=\"psec-k\">Opciones de tratamiento<\/span><h2 class=\"ph2\">Manejo conservador y quir\u00fargico<\/h2><div class=\"ptreat\"><div><p class=\"ptitle\">Tratamiento no quir\u00fargico<\/p><div class=\"ptcard\"><h3>Antibi\u00f3ticos y analgesia<\/h3><p>Como apoyo cuando hay infecci\u00f3n de la piel alrededor o compromiso general. No resuelven un absceso por s\u00ed solos ni reemplazan al drenaje.<\/p><\/div><\/div><div><p class=\"ptitle\">Tratamiento quir\u00fargico<\/p><div class=\"ptcard\"><h3>Drenaje del absceso agudo<\/h3><p>El alivio del dolor es pr\u00e1cticamente inmediato, pero resuelve la urgencia, no la enfermedad.<\/p><\/div><div class=\"ptcard\"><h3>Marsupializaci\u00f3n<\/h3><p>Incisi\u00f3n y apertura del \u201cquiste\u201d, aseo y sutura de los bordes directamente a la piel. Se retira el tejido enfermo y la herida cierra por segunda intenci\u00f3n, con curaciones. La recurrencia es baja, pero la cicatrizaci\u00f3n toma varias semanas.<\/p><\/div><div class=\"ptcard\"><h3>Extirpaci\u00f3n con cierre fuera de la l\u00ednea media o colgajo<\/h3><p>Karydakis, Bascom o cleft lift, Limberg: se retira el tejido enfermo, se aplana el pliegue y la cicatriz queda desplazada hacia un lado. Se reserva habitualmente para enfermedad extensa o recurrente.<\/p><\/div><div class=\"ptcard\"><h3>Depilaci\u00f3n de la zona<\/h3><p>Idealmente con l\u00e1ser: es la medida con mejor respaldo actual para disminuir las recurrencias post-cirug\u00eda.<\/p><\/div><\/div><\/div><div class=\"pnote\">Hoy se evita el cierre directo en la l\u00ednea media del pliegue, porque es la t\u00e9cnica que m\u00e1s se asocia a la reaparici\u00f3n de la enfermedad.<\/div><\/div><\/div>\r\n<div class=\"psec\"><div class=\"pw pfaq\"><span class=\"psec-k\">Lo que preguntan los pacientes<\/span><h2 class=\"ph2\">Preguntas frecuentes<\/h2><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfEs lo mismo que una hemorroide o una f\u00edstula anal?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>No. Son enfermedades distintas y en ubicaciones diferentes. La enfermedad pilonidal est\u00e1 en el pliegue entre los gl\u00fateos, sobre el coxis, y no compromete el ano.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfLos antibi\u00f3ticos me van a curar?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>No. No eliminan la cavidad ni los pelos que est\u00e1n dentro. Son un apoyo en situaciones puntuales, siempre indicados por el m\u00e9dico.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfCu\u00e1nto tiempo de recuperaci\u00f3n necesito?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>Depende de la t\u00e9cnica. Con cierre mediante colgajo, alrededor de dos a tres semanas; con herida abierta, la cicatrizaci\u00f3n completa puede tomar entre cuatro y ocho semanas, aunque la mayor\u00eda retoma su vida normal antes de que la herida cierre del todo.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfPuede volver a aparecer despu\u00e9s de operarme?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>S\u00ed, es posible. El riesgo var\u00eda seg\u00fan la t\u00e9cnica utilizada, la extensi\u00f3n de la enfermedad y los cuidados posteriores. La depilaci\u00f3n mantenida y el buen aseo de la zona reducen esa posibilidad de forma significativa.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfMe tengo que rasurar?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>El rasurado frecuente con hoja irrita la piel y genera pelos cortos y punzantes. Por eso hoy se prefiere la depilaci\u00f3n l\u00e1ser cuando est\u00e1 disponible. En la consulta definimos qu\u00e9 corresponde en tu caso y desde cu\u00e1ndo.<\/p><\/div><\/div><div class=\"pfitem\"><button class=\"pfq\" type=\"button\">\u00bfCu\u00e1ndo debo consultar de urgencia?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"pfa\"><p>Ante dolor intenso y en aumento sobre el coxis, fiebre sobre 38 \u00b0C, enrojecimiento que se extiende r\u00e1pidamente, o salida abundante de pus. Si tienes diabetes, inmunosupresi\u00f3n consulta precozmente ante cualquier signo de infecci\u00f3n.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"pcta\"><img decoding=\"async\" class=\"pctawm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"pw pctag\"><div><span class=\"pctak\">Agenda tu hora<\/span><h2 class=\"pctah\">Habla con un especialista en Temuco.<\/h2><p class=\"pctap\">El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu grado, tu anatom\u00eda y tu situaci\u00f3n. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"pctaf\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a href=\"#\" class=\"pwhite\"><svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div>\r\n<script>(function(){var a=document.querySelectorAll('.pilo-nm .pfitem');a.forEach(function(i){var b=i.querySelector('.pfq'),c=i.querySelector('.pfa');b.addEventListener('click',function(){var o=i.classList.contains('po');a.forEach(function(x){x.classList.remove('po');x.querySelector('.pfa').style.maxHeight=null});if(!o){i.classList.add('po');c.style.maxHeight=c.scrollHeight+'px'}})})})();<\/script>\r\n<\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Inicio\/Patolog\u00edas\/Enfermedad pilonidal sacrococc\u00edgea Enfermedades anorrectales Enfermedad pilonidal sacrococc\u00edgea Frecuente en personas j\u00f3venes. El drenaje y los antibi\u00f3ticos resuelven la urgencia; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-106","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/106","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/comments?post=106"}],"version-history":[{"count":19,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/106\/revisions"}],"predecessor-version":[{"id":266,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/106\/revisions\/266"}],"wp:attachment":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/media?parent=106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}