Human tail with occult spinal dysraphism and dermal sinus in children
Human tails or caudal appendages are rare anomalies defined as lumbo-sacrococcygeal skin-covered appendages. They can be classified as true tails (vestigial structures containing normal tissues and not associated with other anomalies) or pseudo-tails (containing different types of normal or abnormal...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622003815 |
| _version_ | 1797904355177791488 |
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| author | Sarah Crestian Cunha Fernanda Eid Lucas Peiro Maria Florencia Varela Jose L. Peiro Marcio Lopes Miranda |
| author_facet | Sarah Crestian Cunha Fernanda Eid Lucas Peiro Maria Florencia Varela Jose L. Peiro Marcio Lopes Miranda |
| author_sort | Sarah Crestian Cunha |
| collection | DOAJ |
| description | Human tails or caudal appendages are rare anomalies defined as lumbo-sacrococcygeal skin-covered appendages. They can be classified as true tails (vestigial structures containing normal tissues and not associated with other anomalies) or pseudo-tails (containing different types of normal or abnormal tissues, while associated with other lesions such as lipomas, dermal sinus tract, teratomas, spinal dysraphism, among others). We report a case of a pseudo-tail in a child with spinal cord dysraphism without neurological impairment. Postnatal evaluation was made through magnetic resonance imaging. Surgical repair was performed with dermal sinus ligation, appendage removal, and dysraphism closure using a muscle flap. After 36 months of follow-up the patient has a normal neurologic examination and a favorable cosmetic result. We aim to highlight that although rare, caudal appendages can be associated with spinal dysraphism and other congenital lesions such as dermal sinus or tumors. For that reason, these patients require accurate investigation and appropriate treatment. |
| first_indexed | 2024-04-10T09:47:36Z |
| format | Article |
| id | doaj.art-61f4f1044fbb44bc8fcdcb9e6c346118 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-10T09:47:36Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-61f4f1044fbb44bc8fcdcb9e6c3461182023-02-17T04:54:17ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-03-0190102554Human tail with occult spinal dysraphism and dermal sinus in childrenSarah Crestian Cunha0Fernanda Eid1Lucas Peiro2Maria Florencia Varela3Jose L. Peiro4Marcio Lopes Miranda5Grupo em Defesa da Criança com Câncer (GRENDAAC), Jundiaí, São Paulo, Brazil; Corresponding author.Grupo em Defesa da Criança com Câncer (GRENDAAC), Jundiaí, São Paulo, BrazilThe Center for Fetal and Placental Research, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USAThe Center for Fetal and Placental Research, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USAThe Center for Fetal and Placental Research, Pediatric General and Thoracic Surgery Division, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USAGrupo em Defesa da Criança com Câncer (GRENDAAC), Jundiaí, São Paulo, BrazilHuman tails or caudal appendages are rare anomalies defined as lumbo-sacrococcygeal skin-covered appendages. They can be classified as true tails (vestigial structures containing normal tissues and not associated with other anomalies) or pseudo-tails (containing different types of normal or abnormal tissues, while associated with other lesions such as lipomas, dermal sinus tract, teratomas, spinal dysraphism, among others). We report a case of a pseudo-tail in a child with spinal cord dysraphism without neurological impairment. Postnatal evaluation was made through magnetic resonance imaging. Surgical repair was performed with dermal sinus ligation, appendage removal, and dysraphism closure using a muscle flap. After 36 months of follow-up the patient has a normal neurologic examination and a favorable cosmetic result. We aim to highlight that although rare, caudal appendages can be associated with spinal dysraphism and other congenital lesions such as dermal sinus or tumors. For that reason, these patients require accurate investigation and appropriate treatment.http://www.sciencedirect.com/science/article/pii/S2213576622003815Human tailPseudo-tailCaudal appendagesSpinal dysraphismSurgery |
| spellingShingle | Sarah Crestian Cunha Fernanda Eid Lucas Peiro Maria Florencia Varela Jose L. Peiro Marcio Lopes Miranda Human tail with occult spinal dysraphism and dermal sinus in children Journal of Pediatric Surgery Case Reports Human tail Pseudo-tail Caudal appendages Spinal dysraphism Surgery |
| title | Human tail with occult spinal dysraphism and dermal sinus in children |
| title_full | Human tail with occult spinal dysraphism and dermal sinus in children |
| title_fullStr | Human tail with occult spinal dysraphism and dermal sinus in children |
| title_full_unstemmed | Human tail with occult spinal dysraphism and dermal sinus in children |
| title_short | Human tail with occult spinal dysraphism and dermal sinus in children |
| title_sort | human tail with occult spinal dysraphism and dermal sinus in children |
| topic | Human tail Pseudo-tail Caudal appendages Spinal dysraphism Surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622003815 |
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