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Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Dermal sinuses must be differentiated from benign coccygeal pits, which end blindly and never extend intraspinally, and therefore do not require further imaging evaluation or treatment. Dermal sinus tracts are found above the natal cleft and are usually directed superiorly. By comparison, coccygeal pits are found within the natal cleft, below the top of the intergluteal crease, with a tract extending either straight down or inferiorly. Coccygeal pits occur over the lower sacrum and coccyx and are anatomically located below the level of the subarachnoid space. They are encountered…
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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "A technique to prevent distal obstructions where the distal catheter is passed through the falciform and positioned above the liver with the tip pointed at the hepatic flexure has been described in adults [45]."
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