Kocaoğlu Canan, Kocaoğlu Çelebi, Akkoyun İbrahim, Karaniş İlkay Eren
Department of Pediatric Surgery, Konya Education and Research Hospital, Konya, Turkey.
Department of Pediatrics, Konya Education and Research Hospital, Konya, Turkey.
Turk J Pediatr. 2017;59(3):335-337. doi: 10.24953/turkjped.2017.03.017.
Kocaoğlu C, Kocaoğlu Ç, Akkoyun İ, Karaniş İE. A case report with sacral appendage: Is it accessory penis or human tail? Turk J Pediatr 2017; 59: 335-337. Lumbo-sacro-coccygeal appendages are very rare congenital anomalies. It is difficult to say that they are a evolutionary inheritance (tail) from our ancestors or an anomaly (pseudotail) occuring during embrional development. If it is a true tail, this lesion contains adipose and connective tissue, striated muscle, blood vessel and nerves, and is covered by skin. However, if this lesion is a pseudotail, it may be an anomalous prolongation of the coccygeal vertebra, lipoma, teratoma, condrodystrophy or parasitic fetus. We present an infant with a sacral appendage resembling a penis, and its clinical and pathologic differential diagnosis and management are discussed based on literature. Sacral appendages, such as asaccessory penis or human tail, are treated through simple surgical excision. However, patients must be carefully evaluated regarding teratoma and spinal cord pathology.
科曹奥卢C、科曹奥卢Ç、阿克科云İ、卡拉尼什İE。一例骶尾部附属物病例报告：它是副阴茎还是人尾巴？《土耳其儿科学杂志》2017年；59: 335 - 337。腰骶尾附属物是非常罕见的先天性异常。很难说它们是来自我们祖先的进化遗留物（尾巴）还是胚胎发育过程中出现的异常（假尾巴）。如果是真正的尾巴，这个病变包含脂肪和结缔组织、横纹肌、血管和神经，并被皮肤覆盖。然而，如果这个病变是假尾巴，它可能是尾椎的异常延长、脂肪瘤、畸胎瘤、软骨发育不良或寄生胎。我们报告一例有类似阴茎的骶尾部附属物的婴儿，并根据文献讨论其临床和病理鉴别诊断及处理。骶尾部附属物，如副阴茎或人尾巴，通过简单的手术切除进行治疗。然而，必须对患者进行关于畸胎瘤和脊髓病理的仔细评估。
