Dr. 829A - other international versions of ICD-10 S31. They have no associated abnormalities (hairs, skin markings, etc. Typically, the neural tube forms early in pregnancy and it closes by. Incontinence‐associated dermatitis (IAD) is a complex, painful condition that is expensive and hard to treat 1, 2. A total of 34 (24%) patients had an abnormal spinal ultrasound; 15 (44%) of these infants underwent a lumbar magnetic resonance imaging. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. The 2024 edition of ICD-10-CM S31. 1B). Gluteal cleft is the vertical partition which separates buttocks. Two pilonidal cysts that have formed in the gluteal cleft of an adult man. Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Disclaimer: This health information is for educational purposes only. This is the American ICD-10-CM version of Q36. The 2024 edition of ICD-10-CM M26. Videoclip S9 Investigation of the uvula in a case of left cleft lip and palate. Pilonidal disease begins as loose body hairs get caught in these pores and find. These tests may include: Ultrasound. This is the American ICD-10-CM version of M21. k. 1 We present an unusual case of verrucous porokeratosis presenting as a unilateral single. 39 should only be used for claims with a date of service on or before September 30, 2015. Conservative treatment (usually adequate for stages 1 and 2 pressure ulcers) includes: Remove the source of pressure from the affected area. <2. 4). DX? dmaec True Blue. hair in the gluteal cleft. Hypothesis Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. This causes a number of eating and breathing problems. George Karydakis in 1973. 3 Loose hairs trapped in the natal cleft traumatize and penetrate the skin, creating a foreign body reaction that may ultimately lead to formation of midline pits and, in some cases, secondary infection. Methods: Retrospective review of outcomes of 590 consecutive surgically treated patients. However, imaging. Conclusions: Although lower body lift patterns may be based lower for better contour of the buttocks, there is an increased propensity for gluteal cleft elongation. Q35. Introduction. 6 days). Yesterday I had. Describe the difference between male and female pelvis. Cleft uvula. After injecting with 0. Sacral dimples, also known as sacrococcygeal or. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. 0 - other international versions of ICD-10 Q36. T86. It tends to happen in areas with skin folds. A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. 2011 Mar;32 (3):109-13. A crooked crease between the buttocks. Present On Admission. The prevalence of ITD was higher than rates reported in prior studies; we searched the literature. The patient has an unusual sacral crease and sacral dimple. Of the 4 Hispanic whites, perianal nevi were detected in 50. The superior tip of the intergluteal. g. Hi, I have spinal biftia, tethered cord and unknown brain pressure right side ,because knowone will put out and I hsve teeth that don't numb in the back so I was offered aditivan, I never takin it before and some nervous of side effects ,I have sleep apnea will this lower my oxgen levels,during this and will this even help get through where part of my tooth. The vertical line starts from sacrum to the perineum. Superiorly it begins at the external occipital protuberance (EOP) (see the following discussion) and continues inferiorly as the gluteal (anal, natal, or cluneal) cleft (or crena ani) to the level of the S3 spinous. Newly Updated Point-of-Care Quick Reference Topics Posted 8/30/22 Pediatric Care Online is pleased to announce the following updated Point-of-Care Quick Reference topics. I discovered a hard, painfu massl on my gluteal cleft area. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. 39 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 757. Sacral epidermal anomalies include dimples, tracts, lipomas, hemangiomas, and tufts of hair and may be associated with a neural tube defect, such as spina bifida. It's usually just above the crease between the buttocks. 7 - other international versions of ICD-10 Q35. These larger procedures have favored the use of off-midline closures which. Of these, 13 (5% of psoriasis patients) had inverse psoriasis (mean age 68. Usually with the size of this cyst it's probably the same cyst and I think that's probably what your physicians were thinking as well. Diaper Area, Buttocks, and Gluteal Cleft OVERVIEW The unique environment of the diaper area is predisposed to the friction of repeated movement, chafing, local heat, and maceration from retained moisture, all of which serve to provide an excellent environment for potential irritant, fungal, as well as bacterial complications. 2 Although there are conflicting etiological theories, the current consensus holds that pilonidal disease is an acquired condition intimately related to the presence of hair in the gluteal cleft. Constipation or stool accidents. Then, the surgical wound is closed by rotating other tissue to cover the area. generally speaking, scoliosis can cause asymmetry of back and buttocks. Depending on the type of your infection. Sagittal STIR (a) and contrast-enhanced T1-weighted fat-suppressed (b) images show a focal region of STIR hyperintensity along the superior gluteal cleft, in the subcutaneous fat, and overlying the coccyx (arrow), consistent with a pilonidal cyst. 5. 8 - other international versions of ICD-10 Q82. 0%. - Answered by a verified Doctor. The gluteal cleft is never exposed. This is the American ICD-10-CM version of P13. Radiation Oncology Attendi. Other reported sites include beneath the breast, within the gluteal cleft, and the area between the ear and the scalp. The muscle is primarily responsible for the extension of the trunk from a. 1; Causes and Risk Factors. Yesterday I had some pain when a sat/put pressure on the area. The 2024 edition of ICD-10-CM Q36. 2. The distinctive anatomic and radiologic features are discussed. Should I be worried?the right of the gluteal cleft. 2-7. Tinea. 2 months at imaging were included in the study. Coccygeal dimples, increased lumbosacral and/or coccygeal hair, deviations and/or duplications of the gluteal crease, and lumbosacral slate-grey patches are. I’ve noticed my baby has a Y shaped cleft on her bottom. 5 cm area of induration, fluctuance, erythema, and tenderness to the right buttock along the gluteal cleft. 3 years ago • 5 Replies. read more. Q82. Pain or tingling the legs or back; Curvature of the spine Q82. ICD 10 code for Laceration without foreign body of left buttock, initial encounter. Urinary tract issues (which include trouble emptying their bladder and frequent urinary tract infections. Rarely, they can be indicative of underlying spinal defects. The patient reported severe itching, stinging sensation, and intermittent rash in the gluteal cleft, perineum, and perianal region, with onset of symptoms 7 months previously. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. 1 Global variations in incidence have been reported, ranging from 0. The “sitter sign” refers to the rough, thickened skin that older people often develop near the intergluteal cleft, associated with immobility and continued sitting. The patient denied engaging in receptive anal intercourse and had no notable medical or surgical history. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. This is the American ICD-10-CM version of Q82. Epidermoid cyst. Psoriasis can also affect other genital tissue, including the penis, vulva. Normally, the thoracic spine, being one of the primary curves, exhibits a mild kyphosis (posterior curvature); the cervical and lumbar sections. Healed incisions lie within gluteal cleft and crease and groin creases. A bifid uvula is usually identified at birth when a. There is no dimple, hairs or discolouration but the doctor wasn't sure if we should see a paediatrician. The slower you go. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/0. 5 cm above the anus or proximate to the coccyx, and deviated gluteal. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples. This is the American ICD-10-CM version of M21. While the exact mechanism of how it occurs is not fully understood, an infection occurs at the base of the hair follicle at the base of the back and can track to areas in the skin and create an abscess. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. The differential diagnosis included intertrigo, erythrasma, seborrheic dermatitis, inverse psoriasis, and resistant Candida secondary to poorly controlled diabetes. 821 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A form of genital psoriasis, it occurs when the autoimmune disease affects the skin on the buttocks or in the skin folds around the anus. The second reason is dead skin can accumulate in this area, which is hard to get rid of by yourself. Background The Cleft-Lift procedure for pilonidal disease, is a procedure that addresses the presence of a deep gluteal cleft as the etiology of the disease. 0): 154 Other ear, nose, mouth and throat diagnoses with mcc. Researchers in Israel prospectively examined the role of ultrasound (US) in 254 infants younger than 6. These lesions are also often mistakenly labeled stage 1 or stage 2 pressure ulcers/injuries. 3 percent) desired correction achieved by excision and direct closure. Unspecified open wound of left buttock, initial encounter. Medially, the region extends to the mid-dorsal line and is called the intergluteal cleft, which is the groove that separates the buttocks from each other. Infants with TCS may have lumbosacral cutaneous malformations. 2 In 2004, there were 2604 cases of pilonidal cysts reported in U. 1 The latter name, although. M26. Moisture-associated skin damage (MASD) occurs with exposure to various sources of moisture (bodily secretions or effluents) such as urine or fecal matter, perspiration, wound exudate, mucus, digestive secretions, respiratory secretions, or saliva. Congenital branchial cleft anomaly. Expand all. Fig. Fig. 5. (e. (in male individuals), and posteriorly by the superior end of the intergluteal cleft; Vessels, nerves, and lymphatics of the pelvis. 02 [convert to ICD-9-CM] Gluteal tendinitis, left hip. It. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed. A 63-year-old male with a 20-year history of a chronic, recurrent sacrococcygeal pilonidal cyst was referred to our outpatient clinic. The fat was injected with a 4 mm angled basket cannula attached to a power-assisted handpiece (Microaire Surgical. My pediatrician said my son has a bifurcated gluteal cleft and ordered an ultrasound for his spine. ANSWER: SACRAL DIMPLE. described the origin of the uterine artery as a separate branch from the internal iliac, as a bifurcation with the inferior gluteal, and as a trifurcation with superior and inferior gluteal arteries in 37%, 10%, and 29%, correspondingly. Children with sacral agenesis have characteristically flattened buttocks with a shallow gluteal cleft, a palpably absent coccyx, and distal leg wasting described as. A pilonidal cyst (intergluteal pilonidal disease) is a skin condition caused by local inflammation of the superior midline gluteal cleft, which may progress to a local abscess or fistula. Gluteal cleft Shield Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. 1,2 The associ-ated flow chart outlines the decision-making and man-agement of the disease. com. Samir Shureih MD. Dr. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of the 14 infants underwent a lumbar magnetic resonance imaging. This area is the groove between the buttocks that. Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space. This often occurs in patients with significant horizontal length discrepancy between the upper. Two main varieties of duplicated gluteal creases were identified: Y-shaped and pitchfork-like. 2 is grouped within Diagnostic Related Group (s) (MS-DRG v41. ICD-10-CM Diagnosis Code M76. Gluteal Deadlifts. Deep natal cleft is an important factor in the pathogenesis of pilonidal sinus disease [ 14 ]. 39 should only be used for claims with a date of service on or before September 30, 2015. Gluteal crease, gluteal cleft, buttock cleft, natal cleft: this is the crease between the right and left buttocks. Medical Review Physician. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. Use Additional. This is the American ICD-10-CM version of S31. Butt psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks, gluteal cleft ("crack") anus, and pubic area. The internal iliac artery arises where the common iliac artery bifurcates into internal and external iliac arteries; it then crosses the pelvic brim to. The condition, which has an annual. 1,2 The associ-ated flow chart outlines the decision-making and man-agement of the disease. A pilonidal cyst is a small, fluid-filled pocket that forms just above the cleft of the buttocks. Shaving along the intergluteal fold and surrounding region can be used as a first-choice treatment in cases without abscess or as a standard component of the post-operative treatment in order to prevent. 31-year-old male with history of human immunodeficiency virus (HIV) presented with complaints of pain and redness to the right inner buttock; vital signs were within normal limits. My pediatrician said my son has a bifurcated gluteal cleft and ordered an ultrasound for his spine. Use secondary code (s) from Chapter 20. Thirty-one infants with a sacral dimple had an echogenic filum terminale, and 57 children had a filar cyst. The rib cage in turn provides protection for the heart and lungs. Some healthcare providers call a bifid uvula a “cleft uvula. In person evaluation is needed. ICD 10 code for Other congenital malformations of spine, not associated with scoliosis. Feb 4, 2023 at 3:55 PM. Medical Review Physician. Midline structures in the body can often cause unique peculiarities because of embryological development. This was a modification of the Karydakis procedure, which is an off-midline closure operation, described by Dr. The lower part of the neural tube forms the spinal canal. Oct 16, 2008 #2 you're joking right? ? M. The coccygeal region has complex anatomy, much of which may contribute to or be the cause of coccyx region pain (coccydynia). Oct 16, 2008 #2 you're joking right? ? M. 7 years; 7/13 male sex). “High-risk” dimples are defined as those that are (1) deep; (2) larger than 0. 1% (79 of 219), and perineum in 3. Hello i had a ultra sound done on my stomach and its something been crawling in my stomach its a snake and i am really scary i feel it and i really. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus regarding guidelines for accurate classification of these wounds. 061 may differ. 7 may differ. Samir Shureih MD. 622 became effective on October 1, 2023. A pilonidal cyst typically is diagnosed. I discovered a hard, painfu massl on my gluteal cleft area. Triad Hydrophilic Wound Dressing Product Code Size Units 1964 2. M67. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. It can also make the top of your butt crack sore and itchy. The patients whose HSV infection has “knife-cut” clinical lesions are immunosuppressed secondary to either an underlying medical condition or a systemic therapy or both. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S30. Tinea is another name for ringworm, and cruris means groin. Congenital branchial cleft anomaly. 5% Marcaine with epinephrine, we made a vertical incision along the gluteal cleft connecting the two wounds. a. Urinary and bowel dysfunction are nearly universal. Open spinal dysraphism (spina bifida aperta) is characterized by a cleft in the spinal column, with herniation of the meninges (meningocele) or meninges and spinal. Urinary tract issues (which include trouble emptying their bladder and frequent urinary tract infections. OBJECTIVE. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). or feet but are often found on or around the natal cleft. The vertical line starts from sacrum to the perineum. Seizures. 9 - other international versions of ICD-10 P13. This muscle group consists of the gluteus maximus, gluteus medius, gluteus minimus and tensor fasciae latae. Pilonidal cysts tend to occur on a person’s lower back, just above the cleft of the buttocks. Messages 1,130 Location Hibbing, MN Best answers 0. The 2024 edition of ICD-10-CM M21. Butt psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks, gluteal cleft ("crack") anus, and pubic area. In other words, people are born with it. kdmahnke13. The remaining 24% arose from the inferior gluteal artery as a separate branch. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9. Potential causes are diverse, including traumatic, infectious, autoimmune, inflammatory, neoplastic, neurologic, and iatrogenic conditions. The gluteal cleft is protected with Ioban dressing, and the sterile field is draped out from the lumbar spine to the distal thigh ∼2-3 cm above the knee. 0 cm at D/C Gluteal cleft: Resolved in 11 d R buttock: Blanching erythema in 11 d/completely resolved in 20 d Ischial tuberosity medial: resolved in 11 d Ischial tuberosity lateral: Resolved in 11 d: 3: R gluteal cleft stage 2: 3: R buttocks DTI: 3Distribution. The patient’s. Twenty-seven patients had a low-lying spinal cord, and only one patient was suspected of having a tethered cord. This is the American ICD-10-CM version of Q36. 29: Hypospadias: Bifurcated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: No clinical TCS: Male/3. The rotating of tissue causes the gluteal cleft to shift. The purpose of this study was to illustrate the spectrum of solitary gluteal lesions in children. Sign in to MyChart. These cysts are congenital, meaning they’re present at birth. Figure 3. 4,16,18,19 A simple sacral dimple is located in the midline, within the gluteal cleft, has a diameter less than 5 mm, and is less than 2. 6 may differ. My pediatrician said my son has a bifurcated gluteal cleft and ordered an ultrasound for his spine. My pediatrician said my son has a bifurcated gluteal cleft and ordered an ultrasound for his spine. 34 - other international versions of ICD-10 M26. When an infant is born with skin lesions or abnormalities of the lower back or gluteal cleft, the possibility of an association with spinal malformations, such as tethered cord syndrome, often prompts pediatricians to recommend spinal imaging. No other skin changes are seen. Q82. Seizures. 0 became effective on October 1, 2023. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. Fig. Dimensions of the proposed intramuscular pocket are designed and the bilateral gluteal cleft incisions are marked. Spina bifida is a birth defect that occurs when the spine and spinal cord don't form properly. The gluteal cleft is the groove running between each buttock, from the base of the spine to the perineum, which is the area between the anus and genitals. Pathology. Start studying SDL 3 & 4 CNS Malformations. Management of MASD or IAD. You can get a swollen uvula from infections including the flu, mononucleosis, croup, and strep throat. The superolateral accessory ossification center of the patella is usually present by 12 years of age and may persist into adult life. The second reason is dead skin can accumulate in this area, which is hard to get rid of by yourself. DX? dmaec True Blue. 5 cm. Objective: To evaluate hidradenitis surgical patients. The gluteal region comprises of superficial and deep muscle groups. Characteristics of patients with cutaneous findings suggestive of occult spinal dysraphism in our pediatric urology clinic at our institution (1 March 2015–28 February 2021). 11 Itch is more typical of dermatitis and tinea than of psoriasis, but this is not universal. The rules amend definitions, the out-of-state application process, transfer programs, school approval, training hours, faculty, continuing education, standards of practice, and. Branchial cleft cysts appear at any age, but children. Atypical dimples may be located higher up on the back or off to the side. Pilonidal disease is an infection under the skin in the gluteal cleft. 622 became effective on October 1, 2023. read more. Topics: congenital abnormality , cysts , magnetic resonance imaging , salmon patch ,. The patient has an unusual sacral crease and sacral dimple. Gluteal cleft. Bowel and bladder dysfunction are universal. This is the American ICD-10-CM version of M26. Midline pore or pit: in the center of the gluteal crease, normal skin pores can become enlarged. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. Answer: Gluteal cleft. In very mild cases, such as isolated. Gluteal tendinopathy is a common cause of hip pain, especially in older women. Correct or Contain IncontinenceThe most common location was the gluteal cleft. ANSWER: SACRAL DIMPLE. The question stem gives the test taker key information that points to the correct answer choice, intertriginous dermatitis. A pilonidal cyst (also called pilonidal cyst disease, intergluteal pilonidal disease or pilonidal sinus) is a skin condition that happens in the crease of the buttocks — anywhere from the tailbone to the anus. It is 9 times more common in males than in females 2. Referred pain from TrP1 can cover the sacroiliac joint, the gluteal cleft and continue over the ischial tuberosity. 7% in the general population, more commonly affecting males (male to female ratio: 4:1) between the ages of 15 and 38 years [1-4]. Should I be worried?My pediatrician said my son has a bifurcated gluteal cleft. Dysraphism results when the neural plate does not fuse completely in its lower section. I noticed some gluteal moisture last week. 53%) and the upper part of. May 6, 2021 at 5:44 AM. 1-1). b. There is either oozing or moisture. This is the American ICD-10-CM version of S31. If too much fat it can be repaired by liposuction and fat transfer to the gluteal dimple. These anomalies occur in 4% of newborns 1 with fewer than half prompting medical concern. S. Europe PMC is an archive of life sciences journal literature. Q36. A total of 34 (24%) patients had an abnormal spinal US; 15 (44%. Clinical manifestations are variable and include red-The internal iliac artery (IIA), or hypogastric artery, is the primary artery supplying the pelvic viscera and an important contributor to structures of the pelvic wall, perineum, gluteal region, and thigh. Y shaped gluteal waiting for scan. Usually asymptomatic; affects the head, neck, back, or. Pilonidal disease is a reaction to hair in the gluteal cleft, in which unattached hairs injure or pierce the skin, resulting in a foreign body reaction. 8. Oct 16, 2008 #3 Here, this link may help you. Tethered cord syndrome (TCS) is a type of occult spinal dysraphism that may lead to permanent neurologic and orthopedic deficits. Psoriasis can affect the gluteal cleft. The rules are now final and are effective September 1, 2021. A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. The 2024 edition of ICD-10-CM Q36. It most commonly affects males aged 16-30 years. Septate uterus increases the risk of early pregnancy loss, and hysteroscopic intervention to resect the septum is sometimes pursued. ICD-10-CM Coding Rules. Neural tube defects are a spectrum of disorders that can affect the brain or the spinal cord. Results. 6). The distinctive anatomic and radiologic features are discussed. The ICD code L05 is used to code Pilonidal cyst. We report a new rare case of a 67-year-old man affected by an intergluteal cleft EPC, with inguinal and lung metastasis. In person evaluation is needed. flat hemangioma, non-midline lesion, forked gluteal cleft, coccygeal pit, simple sacral dimple, and asymmetric cleft are. The cyst is characterized by a noticeable lump or bump on the skin. Usually asymptomatic; affects the head, neck, back, or. 5 cm in diameter Concerning features: multiple dimples (look along. It's usually just above the crease between the buttocks. Background: Hidradenitis suppurativa is a progressive, recurrent inflammatory disease. MASD may not necessarily be found over common areas of pressure and is more likely to be seen in skin folds, the gluteal cleft, or perineal areas. The diffuse surrounding enhancement (arrowhead) indicates superimposed infection. If so what documentation. It is the most common site of intra. The anterior part of the soft palate is not visible but the uvula can be demonstrated. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed. If too much fat it can be repaired by liposuction and fat transfer to the gluteal dimple. The most widely accepted theory for pilonidal sinus disease development begins with a hair follicle in the intergluteal cleft becoming infected. Messages 2,335 Location E. Attempted resection of a bicornuate uterus "septum". 155 Other ear, nose, mouth and throat diagnoses with cc. Morphology. The gluteal cleft is the area of separation between the two buttocks. Sciatic nerve, inferior gluteal vessels, and posterior femoral cutaneous nerve (arrow) arebetweengluteusmaximusmuscle(MX)and quadratus femorismuscle(QF). Typically, pilonidal cysts occur after puberty. k. Outlook. The internet is a wonderful resourceE. It is also called butt crack or ass crack. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). The most common cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). Given our concern over possible CSF aspirate and a corresponding meningocele, the procedure was aborted and an MRI of the lumbosacral region obtained. Duplicated gluteal creases were classified based on crease appearance above the buttocks.