Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Department of Paediatric Surgery, Nepal National Hospital, Kathmandu, Nepal.
Afr J Paediatr Surg. 2021 Jan-Mar;18(1):43-46. doi: 10.4103/ajps.AJPS_48_20.
There are some common genetic heritages between human and mammals. Human tail, though rare is one of the most noticeable. Till the date, around 60 cases reported in the literature. A true human tail is a benign vestigial caudal cutaneous structure composed of adipose, connective tissue, muscle, vessels and nerves. A true human tail can be distinguished from a pseudotail as the latter is commonly associated with underlying spinal dysraphism, which requires specialised management. We report a case series of four caudal appendages. Two clients were infants, while others two were toddler and presented with cutaneous appendage arising from the lumbosacral region. Out of four, only one had associated spinal dysraphism and neurological manifestation while others did not have spinal dysraphism and neurological manifestation. The appendage was removed by the surgical excision. Clinicians should emphasise the use of 'true tail' and 'pseudo-tail' as the specific disparate terms as the clinical, radiological and histological findings of these conditions differs significantly, along with the management strategies and outcomes.
人类和哺乳动物之间存在一些常见的遗传遗传。人类尾巴虽然罕见，但却是最引人注目的之一。截至目前，文献中已报道了约 60 例病例。真正的人类尾巴是一种良性的退化性尾状皮肤结构，由脂肪、结缔组织、肌肉、血管和神经组成。真正的人类尾巴可以与假尾巴区分开来，因为后者通常与潜在的脊柱发育不良有关，需要专门的管理。我们报告了一系列 4 例尾部附属物的病例。2 名患者为婴儿，而另外 2 名患者为幼儿，表现为腰骶部出现皮肤附属物。在这 4 例中，只有 1 例伴有脊柱发育不良和神经表现，而其他 3 例没有脊柱发育不良和神经表现。通过手术切除了附属物。临床医生应强调使用“真正的尾巴”和“假尾巴”作为特定的不同术语，因为这些情况的临床、放射学和组织学表现有很大的不同，管理策略和结果也不同。
