Lateral buttock and postanal congenital dermal sinus tract

Qi, Shiqin; Zheng, Jicui; Lu, Zhongxin; Li, Kai; Chen, Lian; Xiao, Xianmin

doi:10.1016/j.jpedsurg.2010.02.046

Cited by 9 publications

(5 citation statements)

References 15 publications

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“…Only two tracts reported by Carrillo et al 1 ended in the spinal canal: outside the dural sac in one case and intradural in the other case. Moreover, in cases of lateral spinal dermal tract previously reported in the literature, 1,5,6 four patients had additional dimples; our patient also had two dimples with a coccygeal pit. We also note that dermal sinuses in midline are commonly associated with a dermoid cyst, and those in the paramedian location are associated with an epidermoid cyst 7 similar to our case.…”

Section: Discussionsupporting

confidence: 57%

“…Laterally placed spinal dermal sinus is exceedingly rare. 1,4,6 Some characteristics seem to be important; no patient presented with infection of the central nervous system, except a case of meningitis reported by Carrillo et al, 1 in which the infection followed radiography with metrizamide injected through the opening at the skin. In this lateral site, most often the tract ended blindly in the subcutaneous soft tissues (5 out of 7 cases from the literature) similar to our patient.…”

Section: Discussionmentioning

confidence: 99%

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Unusual Case of Multiple Lateral Spinal Dermal Sinuses in a Child

Abderrahmen

Kallel

Jemel

2017

Pediatrics & Neonatology

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Unusual Case of Multiple Lateral Spinal Dermal Sinuses in a Child

Abderrahmen

Kallel

Jemel

2017

Pediatrics & Neonatology

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“…1) MR imaging was described in only one previous case of lateral CDS. 7) In our case, CT showed that the tract, which appeared isodense to the dermis, traversed the subcutaneous fat layer, which appeared as low density. Although CT does not allow evaluation of the extension of the tract into the spinal canal, we should consider CT in patients with suspected CDS.…”

Section: Discussionmentioning

confidence: 43%

“…2,3,7) Three patients were male and 3 were female, aged from 6 months to 5 years. Five of six lesions were found on the left side of the buttocks.…”

Section: Discussionmentioning

confidence: 99%

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Lateral Buttock Congenital Dermal Sinus Tract -Case Report-

Yamaguchi

Takeda

Kihara

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 6-month-old female presented with purulent discharge from a dimple in the right lateral buttock. A subcutaneous abscess was palpated on the right paravertebral region at the L5-S1 level. She had lowgrade fever with laboratory findings of leukocytosis and elevation of C-reactive protein levels. Klebsiella and Enterococcus species were cultured from the pus. Computed tomography (CT) clearly showed a tract traversing the subcutaneous tissue and connecting to the abscess. Magnetic resonance (MR) imaging showed no abnormality in the spinal canal. The diagnosis was infected congenital dermal sinus (CDS) in the right buttock. After normalization of body temperature and laboratory findings in response to antibiotic treatment, the dermal sinus tract was surgically removed. Intraoperative findings showed that the tract gradually tapered and ended at the subcutaneous abscess space over the lumbosacral fascia. Histological examination confirmed the lesion was dermal sinus. Although laterally placed CDS in the buttocks is extremely rare with only 5 previous cases reported, lateral CDS should be included in the differential diagnosis of a dimple in the buttocks. CT as well as MR imaging should be performed to evaluate suspected lateral CDS.

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Imaging in congenital deformities of the spinal cord

et al. 2012

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Vertebromedullary malformations are a heterogeneous group of anomalies of mesenchymal and neuroectodermal tissue differentiation or closure in the midline of the back. On the basis of an embryological analysis, the authors describe the more common malformations, placing them at different times of onset and describing the pathological features and radiological findings based on the use of the most appropriate imaging techniques. The most common malformations have been divided into dysraphic and nondysraphic types and malformations affecting the vertebral bodies. The most complex malformations are detected during the antenatal period by ultrasound or foetal magnetic resonance imaging (MRI). Conversely, during the postnatal period, when the patient's clinical conditions do not warrant emergency surgical treatment, the disorder can be better defined with a detailed MRI scan of the brain and spinal cord. In less complex dysraphisms, although MRI is the imaging modality of choice, it may be useful to integrate the study with plain radiography (X-ray) and multidetector computed tomography (MDCT) for a better assessment of the skeletal components. In these disorders, the use of imaging is aimed at both identifying malformative defects and postoperative follow-up of more complex forms.

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Lateral buttock and postanal congenital dermal sinus tract

Cited by 9 publications

References 15 publications

Unusual Case of Multiple Lateral Spinal Dermal Sinuses in a Child

Unusual Case of Multiple Lateral Spinal Dermal Sinuses in a Child

Lateral Buttock Congenital Dermal Sinus Tract -Case Report-

Imaging in congenital deformities of the spinal cord

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