Academic literature on the topic 'Sacrococcygeal region'

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Journal articles on the topic "Sacrococcygeal region"

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Stans, Jelle, Anoeshka Pas, and Ellen Davids. "Ribs in the Sacrococcygeal Region." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 7, no. 2 (May 6, 2022): 11–17. http://dx.doi.org/10.26693/jmbs07.02.011.

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Supernumerary ribs are congenital anomalies that can occur in all areas of the vertebral column. Sacrococcygeal ribs, arising from the most caudal part of the vertebral column, are the rarest type of supernumerary ribs. They were described as early as 1960, with new reports being published every few years. Brief literature overviews were sometimes included with case reports. However, until now, no comprehensive reviews with reported search strategies have been published. The purpose of the study was to present a comprehensive review on the subject. A proposal for a clear definition of these entities is made. Where relevant, comparisons with other types of supernumerary ribs are made. An overview of supernumerary ribs in other mammals is presented. Materials and methods. A search of the Medline and Web of Science Core Collection databases was performed with several relevant keywords. The Google search engine was utilized to identify relevant literature. The references of the publications identified with the former methods were also searched. The publications were sorted according to whether they fit the definition of sacrococcygeal ribs put forward above or were called sacrococcygeal ribs but did not fit the definition. To avoid missing any relevant literature, all literature mentioning sacrococcygeal ribs regardless of the definition used were included. Additionally, literature about pelvic digits that would fit the definition was also included. Papers were excluded if they could not be sourced or did not mention sacrococcygeal ribs (any definition) or pelvic digits fitting the definition. Results and discussion. Sacrococcygeal ribs seems to occur equally often in men and women, since both accounted for half of the twelve cases identified that fit the definition. On average, they are diagnosed at 29.91 years of age, but this varied widely (from 3 to 64). This variation is to be expected, since the entities are usually discovered by accident and are present since birth. Although they are very rare, no further information about risk factors was identified. Most of the patients in the case reports did not suffer from symptoms relating to their sacrococcygeal ribs. However, some authors mention that the ribs might pose obstetrical problems during childbirth. This can be expected to be dependent on the exact size and anatomical location of the rib in question and may vary between patients. Due to the lack of symptoms that are associated with sacrococcygeal ribs, an underdetection could however be present. Therefore, further research is needed to more specifically assess the prevalence. This limited body of evidence makes it difficult to make sound conclusions about the epidemiology of these entities. Conclusion. Based on the current body of evidence, it is difficult to make sound conclusions about the condition. It is however very clear that the anomaly is very rare and that complications are relatively rare
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Hawezy, Dawan, and Azhi Kareem. "Closure of pilonidal sinus by the modified off-midline method in the Kurdistan Region, Iraq." Zanco Journal of Medical Sciences 26, no. 3 (December 15, 2022): 213–20. http://dx.doi.org/10.15218/zjms.2022.023.

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Background and objective: Sacrococcygeal pilonidal sinus disease is an inflammation in the natal cleft of the sacrococcygeal region, which develops to abscesses and sinus formation. The incidence of sacrococcygeal pilonidal sinus disease notably increased in the last 50 years, however, there is no accurate data about the frequency of the disease and incidence rate among the Kurdistan region-Iraq population. In this study, we have introduced a simplified off-midline surgical technique without flap reconstruction. The main objective was to find out the rate of postoperative complications, hospitalization time, the recovery time to daily activity and work, and esthetic satisfaction. Methods: This study was conducted in Kurdistan region, Iraq from March 2016 to September 2019 on individuals suffering from sacrococcygeal pilonidal sinus disease. Two hundred ninety-eight individuals from different gender and ages enrolled for operation by modified simple closure of sacrococcygeal pilonidal sinus disease. Results: The median age of the patients was 22.4 years (24.1 male and 20.5 female). 33.9% of our patients were female students (P = 0.002). Most of the patients (89.2%) did not have postoperative complications. However, wound infection was detected in 3.0% of patients. Sacrococcygeal pilonidal sinus disease recurred in 5.4% of patients; furthermore, the disease recurred twice in 7 females (2.4%). All the recurrences happened in the patients that had a severe form of sacrococcygeal pilonidal sinus disease. Conclusion: Significant number of our patients were students, and female students for unclear reasons are at risk in our region. The post-surgical complications only occur in patients with a severe form of sacrococcygeal pilonidal sinus disease. In terms of simplicity, hospitalization time, the recovery time to daily activity and work, esthetic satisfaction, and post-surgical complications, our surgery technique was superior to other open wound surgery such as V-Y Advancement flap, and Karydakis flap.
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Ravindra, Vijay M., Lucia Ruggieri, Sanjeev A. Vasudevan, M. John Hicks, Jodi A. Muscal, Norma M. Quintanilla, Deborah A. Schady, and Guillermo Aldave. "Salvage sacrococcygeal resection for yolk sac tumors after chemotherapy: report of 2 cases." Journal of Neurosurgery: Pediatrics 25, no. 1 (January 2020): 13–20. http://dx.doi.org/10.3171/2019.7.peds19321.

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Pediatric germ cell tumors (GCTs) are neoplasms that originate from primordial germ cells and, according to their site of presentation, are classified as gonadal or extragonadal. The most common site of extragonadal GCTs in children is the sacrococcygeal region, and the standard management is multimodal with a focus on chemotherapy. In selected instances, sacrococcygeal resection is performed. Herein, the authors report on 2 patients who presented with presacral yolk sac tumors managed with multimodal treatment. Both patients underwent salvage sacrococcygeal resection for oncological control and surgical removal of the sacral vertebral elements: a 27-month-old girl with a recurrent sacrococcygeal yolk sac tumor following chemotherapy and initial resection and a 24-month-old boy in whom a primary sacrococcygeal yolk sac tumor was resected following chemotherapy. These 2 cases illustrate the complexity in the management of these unusual tumors and will help neurosurgeons with the understanding of yolk sac tumors in the sacrococcygeal region.
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Zhou, Pengfei, Shiju Liu, Huiju Yang, Yaxin Jiang, Xiang Liu, and Dianwen Liu. "Signet ring cell carcinoma arising from sacrococcygeal teratoma: a case report and review of the literature." Journal of International Medical Research 47, no. 5 (March 5, 2019): 2234–39. http://dx.doi.org/10.1177/0300060519831574.

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We report here a rare case of adult sacrococcygeal teratoma (SCT) that was pathologically diagnosed as signet ring cell carcinoma (SRCC). A 26-year-old man complained of lower abdominal distension and discomfort and difficulty in urinating, and he was admitted to our hospital. Pelvic magnetic resonance imaging showed multiple oval, solid-cystic masses around the anterior sacrococcygeal region that measured approximately 96 × 114 × 89 mm. Magnetic resonance imaging also showed irregular cysts around the posterior sacrococcygeal region that measured approximately 34 × 72 × 60 mm. The preliminary diagnosis was cystic SCT. The patient then underwent surgery, during which we incised the cysts. A large amount of viscous, jelly-like liquid was present in the anterior sacrococcygeal mass. Furthermore, a large amount of light yellow, porridge-like secretion was present in the posterior sacrococcygeal mass. A pathological examination and immunohistochemistry confirmed teratoma, specifically SRCC.
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S�pi, Z., J. Megyesi, I. Beszny�k, and J. Sug�r. "Extraspinal ependymoma in the sacrococcygeal region." Virchows Archiv A Pathological Anatomy and Histopathology 415, no. 3 (1989): 293–96. http://dx.doi.org/10.1007/bf00724917.

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Ibrohim, Ibnu Sina, Suwardi, Dedy C. Haryono, and Bambang Irwansyah. "Antenatal teratoma sacrococcygeal in a three month old children in Indonesia: a rare case report." International Surgery Journal 11, no. 5 (April 29, 2024): 787–90. http://dx.doi.org/10.18203/2349-2902.isj20241142.

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Sacrococcygeal teratoma is a type of germinal cell tumor in children, usually observed in the prenatal or antenatal phases. In either phase, sacrococcygeal teratoma may cause complications that lead to increased risk of morbidity and mortality. A proper screening and management for sacrococcygeal in children are mandatory for the best outcome. Currently, surgical resection is the most promising treatment to manage antenatal sacrococcygeal teratoma in children. Three-month-old female children were brought to the hospital with a growing 8.4 cm mass since birth in her groin. The mass was painless and soft in consistency. Computed tomography (CT) scan revealed a dominant solid lesion accompanied by multiloculated fluid density arising from right gluteal muscle. The patient planned for surgical excision. Hyperkalemia was observed prior to the operation; hence an appropriate correction was needed before surgery. Germ cell tumors, though uncommon, may develop beyond the gonadal region, such as in the brain, neck, mediastinum, and retroperitoneum. In neonates and fetuses, these tumors frequently originate in the sacrococcygeal area, possibly resulting from the migration of primordial cells and the proliferation of totipotent stem cells in that region. Optimal disease burden outcomes for sacrococcygeal teratoma are often achieved through surgical resection. Sacrococcygeal teratoma, although rare, might possess a mortal threat to patient, hence proper diagnosis and treatment must be done to ensure the best clinical outcome.
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Noronha, Lúcia de, Betina Werner, Carmem Maria C. Mendonça, Luiz Nomura, and Luiz Fernando Bleggi-Torres. "Sacrococcygeal chordoma in a 9-year-old boy." Arquivos de Neuro-Psiquiatria 53, no. 3b (September 1995): 654–58. http://dx.doi.org/10.1590/s0004-282x1995000400018.

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A case of sacrococcygeal chordoma in a 9-year-old boy is presented. The symptoms at presentation were pain in both legs and sacrococcygeal region for the last two years that increased in the last four weeks irradiating mainly to the left leg. X-ray and CT scan examinations of the lumbar region revealed an expansive process in the coccygeal region with multiple calcifications and a partially eroded coccyx. There was no invasion of the retroperitoneum and regional lymph nodes. A biopsy was performed and showed cords and nests of cells with large cytoplasm, sometimes vacuolated, nuclei with moderate pleomorphism and clumped chromatin. Immunohistochemistry with avidin-biotin peroxidase technique showed positivity for CK, S-100 protein, CEA, vimentin and to EMA. Chordomas are a distinctly uncommon neoplasm in the first two decades of life, specially in the sacrococcygeal region. They have an aggressive behavior. Treatment of choice is complete resection.
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Kumar, Nilay, and Avinash Kumar Sinha. "Sacrococcygeal teratoma: a case report." International Surgery Journal 6, no. 3 (February 25, 2019): 1007. http://dx.doi.org/10.18203/2349-2902.isj20190841.

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Teratomas are germ cell tumours composed of multiple types of cells derived from more than a single germ cell layer. The most common site of an extra gonadal teratoma is the sacrococcygeal region. We report a case of a 10-day-old female child with a large swelling in the sacrococcygeal region extending laterally into the buttocks. X-ray showed a large mass projecting from the lower pelvic region and delineate the extent of the tumour and the involvement of tissues. Image findings and clinical presentation led to the diagnosis of sacrococcygeal teratoma. Tumour was surgically excised with prior pre-anaesthetic checkup, post-operative period was uneventful. She was discharged with advice to come in follow-up surgical outpatient clinic. There was no evidence of tumour recurrence till 1 year of age. She had normal growth curve for her age with normal developmental milestones.
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Sharma, Rashim, Sudeep Khera, Arvind Sinha, and Taruna Yadav. "Pure yolk sac tumor of sacrococcygeal region." Autopsy Case Reports 11 (2021): e2021287. http://dx.doi.org/10.4322/acr.2021.287.

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10

Sugathadasa, WDP, NV Ratnatunga, KSU Kiriwattuduwe, and PH Ariyawanse. "Heterotopic brain tissue in the sacrococcygeal region." Ceylon Medical Journal 58, no. 3 (September 27, 2013): 126. http://dx.doi.org/10.4038/cmj.v58i3.6106.

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Dissertations / Theses on the topic "Sacrococcygeal region"

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McGrath, Maurice Christopher John, and n/a. "The relationship between the long posterior sacroiliac ligament and the posterior sacrococcygeal plexus." University of Otago. Department of Anatomy & Structural Biology, 2007. http://adt.otago.ac.nz./public/adt-NZDU20070824.142033.

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The burden of non-specific low back pain in the population is substantial. Putative sacroiliac joint pain or 'sacroiliac syndrome' is a significant subset of this condition. Localisable pain over the long posterior sacroiliac ligament (LPSL) is often described as both a clinical sign and symptom of this syndrome. The aim of this qualitative morphological investigation was to investigate a potential basis for a patho-anatomic relationship between the long posterior sacroiliac ligament (LPSL) and the posterior sacrococcygeal plexus (PSP). Twenty-two cadavers were available for study. Three methods were utilised: macro-dissection (n = 22 sides), small wax block histology (n = 3 sides), large wax block histology (n = 1 side), giant wax block histology (n = 4 sides) and a review of E12 sheet plastinated transverse and sagittal sections (n = 4 sides). The LPSL was demonstrated to have a layered structure that was penetrated by the lateral branches of the dorsal sacral rami. A segmental relationship was observed between the lateral branches of the dorsal sacral rami and the LPSL. The posterior layer of the thoracolumbar fascia was not continuous with the superficial layer of the LPSL, deep to the fibres of gluteus maximus. The LPSL was shown to have three morphologically distinct regions, the proximal, mid and distal LPSL. A confluence of three layers was observed at the mid LPSL posterior to the sacroiliac joint (SIJ) namely the erectores spinae aponeurosis (ESA), the gluteal aponeurosis (GA) and the deep fascial layer from the second and third medial dorsal sacral foramina. A region of adipose and loose connective tissue was evident deep to the deep fascial layer in which lateral branches of the dorsal sacral rami were observed. In the region of the mid LPSL between the inferior PSIS and the third sacral transverse tubercle (ST), the attachment of the ESA to sacral bone was absent. This space was occupied by the continuous underlying region of adipose and loose connective tissue. At its greatest extent, this region was observed between the central sacral canal medially and the gluteal aponeurosis laterally. This study suggests that the LPSL may be better described as a retinaculum for the lateral branches of the dorsal sacral rami. These morphological findings provide a basis for the existence of a potential patho-anatomical mechanism that may explain localised pain in the posterior sacroiliac region, usually interpreted as referred pain from the sacroiliac joint. The lateral branches of the dorsal sacral rami may have a potential vulnerability to trauma or ischaemic challenge in this region, which may account for SIJ related 'non-specific' low back pain or for pregnancy related peripartum pelvic pain. Furthermore, a morphological basis for the anatomical confounding of SIJ tests is shown.
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Books on the topic "Sacrococcygeal region"

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McCatty, Ronald R. Essentials of cranio-sacral osteopathy. Bath: Ashgrove Press, 1988.

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McCatty, Ronald R. Essentials of Craniosacral Osteopathy. Ashgrove Publishing, 1998.

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Book chapters on the topic "Sacrococcygeal region"

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Moritake, Kouzo, and Seiichi Ando. "Clinical Analysis of Congenital Dermal Sinus in the Sacrococcygeal Region—Experience of Five Cases." In Spina Bifida, 144–45. Tokyo: Springer Japan, 1999. http://dx.doi.org/10.1007/978-4-431-68373-5_30.

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Raj, Prithvi, Hans Nolte, and Michael Stanton-Hicks. "Sacrococcygeal Plexus Block." In Illustrated Manual of Regional Anesthesia, 63–68. Berlin, Heidelberg: Springer Berlin Heidelberg, 1988. http://dx.doi.org/10.1007/978-3-642-61391-3_9.

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Echlin, Kezia, and Andrew Fleming. "Pilonidal disease." In Oxford Textbook of Plastic and Reconstructive Surgery, edited by Andrew Fleming, 1213–22. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780199682874.003.0107.

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Pilonidal disease presents with a range of signs and symptoms: asymptomatic pits in the natal cleft, acute abscesses, chronic disease with persistent, discharging sinuses, or recurrent disease following previous attempts at treatment. It primarily affects the sacrococcygeal region and is a disease of young adults, generally male, and leads to pain, disability, and time lost from work. The treatment for an acute pilonidal abscess is widely accepted to be incision and drainage with the incision placed out of the natal cleft. The treatment of chronic and recurrent disease is contentious with excision and then either healing by secondary intention, primary closure, or flap closure all being suggested alongside other less aggressive approaches aimed at conserving tissue. Currently none of these treatments is ideal, although primary closure in the midline has been shown to be inferior and should not be performed.
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Maitland, G. D. "Sacrococcygeal and intercoccygeal regions." In Vertebral Manipulation, 318–19. Elsevier, 1986. http://dx.doi.org/10.1016/b978-0-7506-1333-0.50019-2.

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