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It could be a certain type of cyst found back there. basically that hole could be a "drain" for the pus to leave the body and you can read all about it here.
http://en.wikipedia.org/wiki/Pilonidal_cyst
It says that they are more common in men and fat people.
It's how Rush Limbaugh got out of going to Vietnam.
http://www.snopes.com/military/limbaugh.htm
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