scholarly journals Pediatric congenital buttock sinus tract: 10-year experience in a single institution

2019 ◽  
Author(s):  
Kai Wang ◽  
Chunhui Peng ◽  
Wenbo Pang ◽  
Dayong Wang ◽  
Tingchong Zhang ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Epidermoid Cyst ◽  
Treatment Time ◽  
Recurrent Infection ◽  
Sinus Tract ◽  
Fistula Tract ◽  
Retrorectal Space ◽  
Female Predominance ◽  
First Onset ◽  
Retrorectal Cyst

Abstract Background: Pediatric congenital buttock sinus tract has rarely been reported, and the manifestations, treatments, and prognosis of such patients remain unknown. The purpose of this study is to review our experience with this disease, and to conclude the clinical characteristics and management of the disease. Methods: Twenty-two pediatric patients diagnosed with congenital buttock sinus tract were included. Medical records were reviewed, and the patients were followed up. Data were presented using the mean ± standard deviation, median (first quartile, third quartile), frequencies and percentages as appropriate. Results: Among the 22 patients, there were 8 boys (36.4%) and 14 girls (63.6%). First onset age was 42.00 (12.00, 84.00) months, admission age was 77.77 ± 40.73 months, and overall prior treatment time was 11.00 (6.50, 33.75) months. Twenty-one patients had definite congenital dimples since birth, and later manifested with infection through the dimple. All patients came to the doctor with complaint of the infection. The number of invasive procedures ranged from 0 to 5, with an average of 2. Radiology could exactly display the morphology and show the termination as a retrorectal cyst. The surgical procedure was adopted trans-fistula tract, and the pathological results showed a dermoid cyst in 11 patients and an epidermoid cyst in 10 patients. During the follow-up period of 34.50 (24.25, 87.50) months, 19 patients were uneventful and 3 patients suffered recurrence. Two of them underwent a second operation and had no recurrence ever since. The third patient did not receive a second operation, and the refractory infection was still present. Conclusions: Pediatric congenital buttock sinus tract is rare and has a female predominance in the morbidity. Patients have a distinctive congenital dimple on the buttock with recurrent infection, and there usually exists a congenital sinus tract from the dimple to the retrorectal space. Total excision is the only method for the cure. The nature of the disease is a retrorectal developing dermoid cyst or epidermoid cyst. Keywords: Pediatric, Buttock sinus tract, Retrorectal cyst, Treatment, Prognosis

scholarly journals Pediatric congenital buttock sinus tract:10-year experience in a single institution

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kai Wang ◽  
Chunhui Peng ◽  
Wenbo Pang ◽  
Dayong Wang ◽  
Tingchong Zhang ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Epidermoid Cyst ◽  
Treatment Time ◽  
Recurrent Infection ◽  
Sinus Tract ◽  
Fistula Tract ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Retrorectal Space ◽  
First Onset

Abstract Purpose To review our experience with pediatric congenital buttock sinus tract, and to conclude the clinical characteristics and management of the disease. Methods Twenty-two pediatric patients diagnosed with congenital buttock sinus tract were included. Medical records were reviewed, and the patients were followed up. Continuous variables were presented by median and range. Categorical variables were presented as frequencies and percentages. Results Among the 22 patients, there were 8 boys (36.4%) and 14 girls (63.6%). The median first onset age was 42 months, and the range was 5 months to 12 years old. Admission age was 69.5 months, with a range from 14 months to 12 years old. Overall prior treatment time was 11 months, ranging from 3 months to 11 years. Twenty-one patients had definite congenital dimples since birth, and later manifested with infection through the dimple. All patients came to the doctor with complaint of the infection. The number of invasive procedures ranged from 0 to 5, with an average of 2. Radiology could exactly display the morphology and show the termination as a retrorectal cyst. The surgical procedure was adopted trans-fistula tract, and the pathological results showed a dermoid cyst in 11 patients and an epidermoid cyst in 10 patients. During the follow-up period of 34.5 months (range, 2 months to 8 years), 19 patients were uneventful and 3 patients suffered recurrence. Two of them underwent a second operation and had no recurrence ever since. The third patient did not receive a second operation, and the refractory infection was still present. Conclusions Pediatric congenital buttock sinus tract is rare and has a female predominance in the morbidity. Patients have a distinctive congenital dimple on the buttock with recurrent infection, and there usually exists a congenital sinus tract from the dimple to the retrorectal space. Total excision is the only method for the cure. The nature of the disease is a retrorectal developing dermoid cyst or epidermoid cyst.

scholarly journals Pediatric congenital buttock sinus tract: 10-year experience in a single institution

2019 ◽  
Author(s):  
Kai Wang ◽  
Chunhui Peng ◽  
Wenbo Pang ◽  
Dayong Wang ◽  
Tingchong Zhang ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Epidermoid Cyst ◽  
Treatment Time ◽  
Recurrent Infection ◽  
Sinus Tract ◽  
Fistula Tract ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Retrorectal Space ◽  
Retrorectal Cyst

Abstract Purpose: To review our experience with pediatric congenital buttock sinus tract, and to conclude the clinical characteristics and management of the disease. Methods: Twenty-two pediatric patients diagnosed with congenital buttock sinus tract were included. Medical records were reviewed, and the patients were followed up. Continuous variables were presented by median and range. Categorical variables were presented as frequencies and percentages. Results: Among the 22 patients, there were 8 boys (36.4%) and 14 girls (63.6%). The median first onset age was 42 months, and the range was 5 months to 12 years old. Admission age was 69.5 months, with a range from 14 months to 12 years old. Overall prior treatment time was 11 months, ranging from 3 months to 11 years. Twenty-one patients had definite congenital dimples since birth, and later manifested with infection through the dimple. All patients came to the doctor with complaint of the infection. The number of invasive procedures ranged from 0 to 5, with an average of 2. Radiology could exactly display the morphology and show the termination as a retrorectal cyst. The surgical procedure was adopted trans-fistula tract, and the pathological results showed a dermoid cyst in 11 patients and an epidermoid cyst in 10 patients. During the follow-up period of 34.5 months (range, 2 months to 8 years), 19 patients were uneventful and 3 patients suffered recurrence. Two of them underwent a second operation and had no recurrence ever since. The third patient did not receive a second operation, and the refractory infection was still present. Conclusions: Pediatric congenital buttock sinus tract is rare and has a female predominance in the morbidity. Patients have a distinctive congenital dimple on the buttock with recurrent infection, and there usually exists a congenital sinus tract from the dimple to the retrorectal space. Total excision is the only method for the cure. The nature of the disease is a retrorectal developing dermoid cyst or epidermoid cyst. Keywords: Pediatric, Buttock sinus tract, Retrorectal cyst, Treatment, Prognosis

scholarly journals Pediatric congenital buttock sinus tract: 10-year experience in a single institution

2019 ◽  
Author(s):  
Kai Wang ◽  
Chunhui Peng ◽  
Wenbo Pang ◽  
Dayong Wang ◽  
Tingchong Zhang ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Epidermoid Cyst ◽  
Treatment Time ◽  
Recurrent Infection ◽  
Sinus Tract ◽  
Fistula Tract ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Retrorectal Space ◽  
Retrorectal Cyst

Abstract Purpose: To review our experience with pediatric congenital buttock sinus tract, and to conclude the clinical characteristics and management of the disease. Methods: Twenty-two pediatric patients diagnosed with congenital buttock sinus tract were included. Medical records were reviewed, and the patients were followed up. Continuous variables were presented by median and range. Categorical variables were presented as frequencies and percentages. Results: Among the 22 patients, there were 8 boys (36.4%) and 14 girls (63.6%). The median first onset age was 42 months, and the range was 5 months to 12 years old. Admission age was 69.5 months, with a range from 14 months to 12 years old. Overall prior treatment time was 11 months, ranging from 3 months to 11 years. Twenty-one patients had definite congenital dimples since birth, and later manifested with infection through the dimple. All patients came to the doctor with complaint of the infection. The number of invasive procedures ranged from 0 to 5, with an average of 2. Radiology could exactly display the morphology and show the termination as a retrorectal cyst. The surgical procedure was adopted trans-fistula tract, and the pathological results showed a dermoid cyst in 11 patients and an epidermoid cyst in 10 patients. During the follow-up period of 34.5 months (range, 2 months to 8 years), 19 patients were uneventful and 3 patients suffered recurrence. Two of them underwent a second operation and had no recurrence ever since. The third patient did not receive a second operation, and the refractory infection was still present. Conclusions: Pediatric congenital buttock sinus tract is rare and has a female predominance in the morbidity. Patients have a distinctive congenital dimple on the buttock with recurrent infection, and there usually exists a congenital sinus tract from the dimple to the retrorectal space. Total excision is the only method for the cure. The nature of the disease is a retrorectal developing dermoid cyst or epidermoid cyst. Keywords: Pediatric, Buttock sinus tract, Retrorectal cyst, Treatment, Prognosis

Prevotella melaninogenica Meningitis and Abscess: A Complication of the Removal of a Midline Dermoid Cyst

2018 ◽  
Vol 15 (03) ◽  
pp. 152-154
Author(s):  
Megan B. Garcia ◽  
Anjali N. Kunz
Keyword(s):  
Dermoid Cyst ◽  
Bacterial Infections ◽  
Surgical Excision ◽  
Sinus Tract ◽  
Neural Tube Closure ◽  
Intracranial Extension ◽  
Dermal Sinus ◽  
Oral Flora ◽  
Prevotella Melaninogenica ◽  
Dermal Sinus Tract

Abstract Prevotella species are gram-negative anaerobic commensal bacteria of the oropharynx, which frequently cause periodontal disease but are otherwise rarely implicated in serious bacterial infections. Cranial dermoid cysts are benign neoplasms that grow along the planes of the embryonic neural tube closure. In infants, they most commonly present in frontal locations, including periorbital, nasal, and within the anterior fontanelle. Although dermoid cysts are slow growing, usually uncomplicated, and easily treated definitively with surgical excision, cranial cysts located on the midline are associated with a higher risk for persistent dermal sinus tract with intracranial extension of the tumor. We describe a case of a 10-month-old male patient with an occipital midline dermoid cyst with intracranial extension, infected with Prevotella melaninogenica, and complicated by intracranial abscess formation and meningitis.This case highlights two unusual disease entities: the uncommon occipital location of a dermoid cyst, and complications of that cyst caused by a serious bacterial infection with a normal oral flora. We discuss the recommendation for neuroimaging prior to surgical excision of a midline dermoid cyst, given the risk for dermal sinus tract with intracranial communication. We also discuss potential mechanisms for bacterial inoculation of this cyst with Prevotella melaninogenica. This pathogen has not previously been reported as a complication of dermoid cysts.

Dermoid cyst of the tongue with sinus tract

1982 ◽  
Vol 53 (5) ◽  
pp. 450-453 ◽  
Author(s):  
John L. Giunta ◽  
Allen L. Friedman ◽  
Richard Karp
Keyword(s):  
Dermoid Cyst ◽  
Sinus Tract

scholarly journals P145 DERMOID CYST MASQUERADING AS INCARCERATED INGUINAL HERNIA

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Moh'd Shafiq Ramadan ◽  
Huda Al-Zuhd ◽  
Anas Atari
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Dermoid Cyst ◽  
Epidermoid Cyst ◽  
Mass Content ◽  
Incarcerated Inguinal Hernia ◽  
Surgical Ward ◽  
Elective Repair ◽  
The Common

Abstract Aim “For pre operative optimization and educational purposes, rare possibilities should be included in the differential diagnosis”” Material and Methods “CASE REPORT. Inguinal hernia is one of the common operations done by surgeons, often diagnosed clinically. Here we present a case of 29 year old male patient presented with inguinal swelling for 3 years. He was admitted for the surgical ward as a case of incarcerated inguinal hernia for elective repair under GA. Intra op the mass was not consistent with inguinal hernia, two other possibilities were a concern that can cause the swelling; 1) testes, which was excluded by examining the scrotum, 2) Dermoid/Epidermoid cyst which was checked by the mass content of hair and pasty fluid” Results “DERMOID CYST” Conclusions “Most surgeons depend on clinical picture in diagnosing inguinal hernia, thus even other rare possibilities should be included in the differential diagnosis. Unusual presentations of inguinal hernia should be having radiological evaluated.”

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