İsmail Seçkin KAYA, Mevlüt Özgür TAŞKAPILIOĞLU

"Human Tail"; Olgu Sunumu

“Human tail”; lumbosakrokoksigeal kaudal bölgede, üzeri cilt ile kaplı protrüzyon olarak gözlenen, nadir görülen, konjenital, embriyonik, vestigial benign bir anomalidir. Klinik, radyolojik, histopatolojik incelemelerle “true tail” ve “pseudo tail” olarak birbirinden ayırd edilmeleri gerekir. Özellikle radyolojik incelemeler preoperatif dönemde bu ayrıcı tanıyı yapmakta büyük öneme sahiptir. Human tail’e diğer konjenital anomaliler eşlik edebilir, spinal disrafizm bu anomalilerde en büyük paya sahiptir ki bu da iyi bir klinik yönetim gerektirmektedir. Bu olgu sunumunda, “true tail” ile doğmuş, sağlıklı bir yenidoğan olgusundan bahsedildi.

Anahtar Kelimeler:

human tail, true tail, spinal disrafizm, kaudal uzantı, spina bifida

Case report; "Human Tail"

Human tail is a rare, congenital, embryonic, vestigial benign anomaly observed as a skin covered protrusion in lumbosacrococcygeal region. True tail and pseudotail should be distinguished from each other by clinical, radiological and histopathological examinations. Particularly radiological examinations have great importance in making this differential diagnosis in the preoperative period. Human tail may be accompanied by other congenital anomalies, spinal dysraphism has the largest share in these anomalies, which requires good clinical management. In this case report, a healthy newborn with human tail was mentioned.

Keywords:

human tail, true tail, spinal dysraphism, caudal appendage, spina bifida,

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1) Mahesh K. Pillai, Smitha T. Nair. A True Human Tail in a Neonate. Sultan Qaboos Univ Med J. 2017; 17(1): e109–e111.
2) Lu FL, Wang PJ. The Human Tail. Pediatr Neurol. 1998;19(3):230-3.
3) Dao AH, Netsky MG. Human tails and pseudotails. Hum Pathol. 184; 15(5):449-53.
4) Chauhan SP, Gupta A. Human tail with spina bifida. Br J Neurosurg. 2009; 23(6):634-5.
5) Turk CC, Kara NN, Bacanli A. The human tail: A simple skin appendage or cutaneus stigma of an anomaly? Turk Neurosurg. 2016; 26(1);140-5.
6) Clark P, Davidson L. Case report:pseudotail with dermal sinüs tract and tethered cord. J Ultrasound. 2016; 19(3):239-241.
7) Kabra NS, Srinivasan G, Udani RH. True tail in neonate. Indian Pediatr. 1999; 36(7):712-3
8) Amirjamshidi A, Abbassioun K, Shirani M. Skin-covered midline spinal anomalies: a report of four rare cases with a discussion on their genesis and milestones in surgical management. Childs Nerv Syst. 2006; 22(5);460-5