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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Deep Hole With Strong Odor On Thigh?

I have a deep hole in the side of my thigh and it is very deep that a pin can go deep down without hurting. It has a black substance in it and it has a foul smell . is it a blackhead or what is it? I had it for years but never bothered to go to the doctor.
Tue, 24 Mar 2015
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Pathologist and Microbiologist 's  Response
Hi! thanks for your query!

This is a sinus tract...

After going through ypur description, I would like to explain your problem as follows:

it is a deep hole; therefore, the inner end is blind!

it is very deep that a pin can go deep down without hurting: therefore, the nerves are either not working or covered by fibrosis/inflammation!

It has a black substance in it: therefore, it contains some pigment material like melanin of skin, fungus, cellular debri, old hemorrhage or environmental dirt materials;

it has a foul smell: therefore, it is infected or contains inspissated sebaceous secretions

Therefore, it is either a ruptured cyst or an infected sinus tract that needs clinical examination and possibly surgical removal; please see a surgeon today.

Wishing you good health,
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What Causes Deep Hole With Strong Odor On Thigh?

Hi! thanks for your query! This is a sinus tract... After going through ypur description, I would like to explain your problem as follows: it is a deep hole; therefore, the inner end is blind! it is very deep that a pin can go deep down without hurting: therefore, the nerves are either not working or covered by fibrosis/inflammation! It has a black substance in it: therefore, it contains some pigment material like melanin of skin, fungus, cellular debri, old hemorrhage or environmental dirt materials; it has a foul smell: therefore, it is infected or contains inspissated sebaceous secretions Therefore, it is either a ruptured cyst or an infected sinus tract that needs clinical examination and possibly surgical removal; please see a surgeon today. Wishing you good health,