What's Your Diagnosis?

Healthy Infant With Unusual Indentation in His Gluteal Crease

By CHRISTY BLAKE, RNC, MSN, CPNP and GOLDER N. WILSON, MD, PhD, ALEXANDER K. C. LEUNG, MD—Series Editor
Ms Blake is a nurse practitioner and Dr Wilson is clinical professor of pediatrics at Texas Tech University Health Sciences Center at Amarillo. Dr Leung is clinical associate professor of pediatrics at the University of Calgary and pediatric consultant at the Alberta Children's Hospital.
Volume 7 - Issue 10 - October 2008

 

 

  • sacral dimple

    HISTORY

    Two-month-old boy with divot in the lower back, shown here with the gluteal crease relaxed (A) and spread (B). Infant is a product of an uncomplicated pregnancy and delivery. Nursery stay uneventful. Subsequent feeding and growth normal. Parents report no problems with urination or defecation.

    PHYSICAL EXAMINATION

    No drainage of fluid from the indentation. No swelling, redness, or tenderness. Normal tone in the lower extremities, normal reflexes, and symmetrical movements. All other physical findings unremarkable.

    WHAT'S YOUR DIAGNOSIS?

    Answer on next page.