Coccygeal dermal sinus

Case contributed by Dr Praveen Jha

Presentation

A girl with a hole in her intergluteal region since birth. No discharge from it. Neurologically normal. Normal development.

Patient Data

Age: 13
Gender: Female
MRI

A curvilinear tract extending from the integluteal region in midline, to the tip of the coccyx. It is lined by T2 hypointense (fibrosed/epithelised tissue), with no fluid within. No horse-shoe tracking/abscess. Some cortical irregularity in coccyx posterior surface but no marrow oedema/acute osteomyelitis.

Case Discussion

Coccygeal pits or coccygeal dermal sinuses are relatively common entities, often referred to the paediatric neurosurgeon. Usually they are not of concern, as they have an epithelial layer with no secretions. MRI is however recommended to rule out any intradural communication and to differentiate them from fistula-in-ano or an inflammatory sinus.

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Case information

rID: 39581
Case created: 10th Sep 2015
Last edited: 30th May 2017
Systems: Spine, Paediatrics
Inclusion in quiz mode: Included

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