What's Your Diagnosis?

Healthy Infant With Unusual Indentation in His Gluteal Crease

Alexander K.C. Leung, MD, MBBS, FRCPC, FRCP
Christy Blake, MSN, CPNP
Golder N. Wilson, MD, PhD
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.