Description
		
The specimen is a block of skin and subcutaneous fat from the natal cleft. Just to one side of the 
midline there is a slightly raised area on the surface of the skin leading down into a track surrounded 
by tan-coloured tissue. On the reverse of the specimen a smaller track can be seen surrounded by 
pale scar tissue. 
		 History
		
This presented as a painless lump in the sacral area of a man aged 33. On several 
occasions pus was discharged from the sinus. The lesion was excised but recurred later and further 
excision was needed.