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Experience with human tail and its outcome.

Md Nazrul Islam1, Suman Bikram Adhikari2, Mohammad Mahabubul Alam1

  • 1Department of Paediatric Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

African Journal of Paediatric Surgery : AJPS
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Summary

Human tails are rare, benign vestigial structures. Distinguishing true tails from pseudotails is crucial for appropriate medical management and outcomes.

Keywords:
Human tailpseudo-tailspinal dysraphismtrue tail

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Area of Science:

  • Developmental Biology
  • Human Anatomy
  • Medical Genetics

Background:

  • Human tails share genetic heritage with mammals, representing rare vestigial caudal cutaneous structures.
  • Around 60 cases of human tails have been documented in medical literature.
  • Differentiating true human tails from pseudotails is critical due to distinct underlying conditions and management.

Observation:

  • A case series of four pediatric patients presenting with lumbosacral caudal appendages is reported.
  • Two patients were infants, and two were toddlers.
  • One patient exhibited spinal dysraphism and neurological manifestations, while the other three did not.

Findings:

  • True human tails are benign, composed of adipose tissue, connective tissue, muscle, vessels, and nerves.
  • Pseudotails are associated with underlying spinal dysraphism requiring specialized medical intervention.
  • Surgical excision was performed for the appendages in this case series.

Implications:

  • Emphasizing the distinct terminology of 'true tail' and 'pseudotail' is essential for accurate diagnosis.
  • Clinical, radiological, and histological findings differ significantly between true tails and pseudotails.
  • Clearer diagnostic criteria improve management strategies and patient outcomes for caudal appendages.