What an incredible first year. Includes. These are referred to as duplicated or asymmetric or Y-shaped clefts or creases (Fig. A cross-sectional assessment of cutaneous lumbosacral and coccygeal physical examination findings in a. 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. The most common MSS lesions were “simple dimple” (125 infants), defined as a soft tissue depression ≤25 mm above the anus (regardless of size or depth), and deviated gluteal fold (DGF; 53 infants), defined as any abnormal gluteal fold (including bifid or split gluteal cleft) without an underlying mass. Medical problems commonly associated with 22q11. 32 No. basically, the top of his bum crack makes a y shape…Had our first well check today and scheduled an ultrasound. @lblake907, in some cases it’s a sacral dimple and can be a sign of spina bifida occulta, but if the spine is closed then it can be (in very rare occurrences) a sign of a tethered cord. This is the American ICD-10-CM version of P13. 5 weeks old and is still yellow. Q82. A thorough physical examination of a newborn should be done within 24 hours of birth. 6 may differ. 00 [convert to ICD-9-CM] Gluteal tendinitis, unspecified hip. Lumbosacral Nevus Simplex in a Newborn Girl with an Asymmetrical Y-Shaped Gluteal Cleft Kaitlin N. Q82. basically, the top of his bum crack makes a y shape…Red Flags! •Midline (or near-midline) tuft of hair (hypertrichosis) •Midline (or near-midline) capillary hemangioma •Midline (or near-midline) subcutaneous mass (lipoma) •Caudal appendage •Deviated or duplicated gluteal cleft •Expression of fluid from dimple •Dimple located more caudally •Inability to see base •Swelling/erythema around. 딤플보다 엉덩이 틈새 (gluteal cleft) 기형 은 경증 OSD와 연관성이 있어 꼭 추가적인 검사 를 해야해요. little man has a duplicated gluteal cleft. Duplicated gluteal fold: CM ends at L2-3: N/A: No clinical TCS: Male/3. basically, the top of his bum crack. Congenital dermal sinus is an uncommon form of cranial or spinal dysraphism. The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). The gluteal cleft is an anatomical characteristic found in both males and females. Anusol wipes. k. Intertrigo may present as diaper. Article. Morbidity and. I made the mistake of googling, and it says it could be a sign of spina bifida or tethered spine. 7% had lumbosacral and/or coccygeal hairiness. Cute vs. Verrucous porokeratosis of the gluteal cleft is a . 156 Other ear, nose, mouth and throat. A cleft lip is a birth defect that results in a unilateral or bilateral opening in the upper lip between the mouth and the nose. ”. 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. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Gluteal cleft Meaning - YouTube. Screening for spinal dysraphisms in newborns with sacral dimples (2016) A. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. Hey Ladies. Change diapers promptly after voiding or soiling. Oct 16, 2008 #2 you're joking right? ? M. In 2 cases, there were differences in respondents' choice to image or consult a subspecialist depending on their percent clinical full time equivalent spent taking care of neonates <1 month of age: (1) coccygeal hair (P = . 9 - other international versions of ICD-10 Q37. NEUROLOGIC: Normal tone. 2011 Mar;32 (3):109-13. The estimated overall incidence of pilonidal disease is 26:100,000. After reviewing the case, we decided to design the inferior flap as a laterally. 27 This study also evaluated 207 neonates with. A. Myalgia is pain in muscles, and since your Dr. [Wu, 2020] Have been associated with Closed Neural Tube Defects. Posted 06-05-18. nervous system sacral dimples Pediatrics in. So, Ortolani-Barlow – not a great test for picking up DDH – in that a normal test doesn’t rule. ANSWER: SACRAL DIMPLE. Our content is doctor approved evidence based, and our community is moderated, lively, and welcoming. Each referred participant was risk stratified based on specific physical exam findings. 9 became effective on October 1, 2023. 5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM Z87. Duplicate ICD-10-CM Codes. s. from publication: Spinal Sonography in Infants with Cutaneous birth Markers in the Lumbo-Sacral Region – an Important Sign of Occult Spinal Dysrhaphism and Tethered. Absorb moisture—use disposable diapers with super absorbent gelling materials. About 1:1000 babies: It depends on the ethnic group, the family and pregnancy history, etc. M26. Applicable To. ), and relevant articles were selected by mutual agreement. Asymmetric Y-shaped gluteal cleft that is moderately associated with spinal dysraphism except if present with other lesions. This is the American ICD-10-CM version of Q82. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. Ultrasonography of the lumbosacral spine gener-A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. 2 - other international versions of ICD-10 Q84. 1 became effective on October 1, 2023. Answer: Sacaral dimple. The right gluteal crease is lower than the left. 4). hemangioma, telangiectasia The 2024 edition of ICD-10-CM P01. 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. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 5 cm above the anus) and. 6 became effective on October 1, 2023. little man has a duplicated gluteal cleft. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. Spina Bifida Occulta (Occult Spinal Dysraphism) Spina bifida occulta is a common anomaly consisting of a midline defect of the vertebral bodies without protrusion of the spinal cord or meninges. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. All racial/ethnic groups had double to quadruple the risk of lumbosacral hair when compared with. ICD-10-CM Coding Rules. 71: Circumcision: Duplicated gluteal fold, coccygeal pit: CM ends at L2-3: N/A: N/A -5% duplicated gluteal cleft . (1) (2) These defects, which result from abnormal fusion of the neural tube during embryonic development, are placed into two broad categories: open and closed. A total of 34 (24%) patients had an abnormal spinal US; 15 (44%. teal cleft than pressure sore which happen due to force abrasively folded inward in both buttocks (Fig. Low-risk findings included “simple dimple,” defined as a soft tissue depression appearing up to 2. 6% had dimples, and 24. Inverse LP lesions are confined to the intertiginous zones, including the axillae, inguinal creases, gluteal cleft, limb flexures, and submammary region (Lehman et al. 8 may differ. Most patients are asymptomatic and lack neurologic signs, and the condition is usually of no consequence. The universal screening picked up a type IIa DDH in 44. Single, deviated gluteal crease with dimple. DX? dmaec True Blue. Based on your photo, it looks like it could be improved with surgery. 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. She took some pictures and sent them to a neurosurgeon who said we. 6 - other international versions of ICD-10 Q82. Cleft palate, unspecified. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. 중복 엉덩이 틈새 (duplicated gluteal cleft)로 OSD와 연관되어 있어요. Congenital hip dislocation and bilateral club feet in an infant with Poland's anomaly. Oct 16, 2008 #2 you're joking right? ? M. BACKGROUND AND INCIDENCE. Spinal dysraphism refers to a group of congenital spinal anomalies resulting from incomplete closure of the neural tube early in fetal life. Ultrasonography (US) of the spinal cord is performed in newborns with signs of spinal disease (cutaneous lesions of the back, deformities of the spinal column, neurologic disturbances, suspected spinal cord injury due to traumatic birth, and syndromes with associated spinal cord compression). Skin stigmata were classified into seven types, dimple, deformed gluteal cleft, hair, subcutaneous mass, appendage, discoloration, and protruding bone, and included 1056 isolated and 199 complex ones. So my newborn I noticed has a shallow, small dimple right above her butt crack, and she does have a hairy back. Figure 4. Due to unclear efficacy of topical or systemic antibiotics, ASCRS recommends these agents as adjunct treatment for patients with significant cellulitis, immunosuppression or. A deviated or duplicated gluteal cleft should raise concern for OSD, whether or not a dimple is present. Business, Economics, and Finance. little man has a duplicated gluteal cleft. Gluteal region by ritika. Methods. 29: Hypospadias: Gluteal asymmetry: CM ends at L2-3: N/A: No clinical TCS: Female/10. Case reports of median tongue clefts in the literature show mostly a combination with a cleft of the median lower. This is the American ICD-10-CM version of Q35. The patient is intubated on a sterile draw. Asymmetry. 110 749. Congenital sacral dimple. A lump of the lower back. The rash presents as bright red, well-defined symmetrical plaques which are typically without the silvery white scale which may be seen at other sites, such as the scalp, trunk, periumbilical area, and extensor surfaces. . I never thought to bring it up to the doctor until recently when my mom said it’s not normal. there is a duplicated gluteal cleft; there is more than one dimple; the dimple lies outside the sacrococcygeal region; there are any neurological abnormalities noted; The above may be associated with an underlying neurological problem, for example spinal dysraphism. The purpose of this study is to describe the range and frequency of cutaneous lumbosacral and coccygeal findings encountered during the newborn examination in a population of apparently healthy. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1 Atypical Sacral Dimple: Not in midline, not in sacrococcygeal region, >5 mm deep, >2. 4 Patient operative positioning. Utilizing the solid concepts of Dr. 02). 5 - other international versions of ICD-10 Q82. Posted 06-24-17. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant trauma. 8. Fetal macrosomia, one of most important fetal growth disorders, is defined as “a weight at birth higher than the 90 th. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0 became effective on October 1, 2023. 8 is a billable diagnosis code used to specify a medical diagnosis of other specified congenital malformations of skin. Home. there is a duplicated gluteal cleft; there has more than an dimple; the dimple rests outside the sacrococcygeal region; there are any neurological deformity noted The above may be associated to into underlying neurological problem, on example vertebral dysraphism. The buttocks can be the most susceptible place boils for two reasons. Q82. Of 1096 infants included in the study, 24. Asymmetrical buttock creases can suggest hip dysplasia in infants but, like a hip click, an ultrasound or x-ray study will need to be done to determine whether the hips are normal or not. The 2024 edition of ICD-10-CM Q36. basically, the top of his bum crack makes a y shape…P54. This is the American ICD-10-CM version of Q92. Pediatricians have been comfortable with assessing as insignificant the common low-lying midline dimple or deviated gluteal folds found at the nursery or first well-infant examination. Yes my son has that. Variation in Management of Cutaneous Lumbosacral Findings in Newborns. A fingertip placed on the dimple can be “rolled around” the tip of the coccyx. Sacral dimple newborn – a prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. ICD-10-CM Coding Rules. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. gluteal crease anatomy. 9 - other international versions of ICD-10 P13. Coccygeal pits are distinctly different from dermal sinuses and may occur at rates as high as 4% in the general population. a fatty lump. mbort True Blue. A. The aim of this article was to summarize results of the consensus sessions that occurred. Linear lesions in the intergluteal cleft are caused by moisture with or without a friction component and should be classified as intertriginous (between skin folds) dermatitis (inflammation of the skin). He had an ultrasound at a week old and it was negative. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. They may be associated with a tuft of hair. Of course google isn’t my friend and everything I’m reading mentions a tethered spinal cord. 6 Therefore, we could consider these patients low risk for. Cranial nerves grossly intact. Figure 1. This area is the groove between the buttocks that. Applicable To. 1. Upgrade to remove ads. Gluteal cleft. Some authors tried to propose a higher threshold score based on the five-point scoring system, however, it did not increase sensitivity or specificity in the diagnosis of DST. Issued by: Centers for Medicare & Medicaid Services (CMS) DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically. Scientists don’t know for sure what causes sacral dimples, but it may be genetic. Keep the skin of the diaper area clean and dry. 6%. Q18. Tinea cruris is usually due to T. Skin stigmata were classified into seven types, dimple, deformed gluteal cleft, hair, subcutaneous mass, appendage, discoloration, and protruding bone, and included 1056 isolated and 199 complex ones. A pilonidal cyst can be extremely painful especially when sitting. GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. 3 March 2011 111 Duplicated gluteal cleft Results of a study by Kriss and Desai showed that the incidence of cutaneous stigmas in a healthy neonate population was 4. Pilonidal disease is a clinical diagnosis based on history, physical exam (including anorectal exam), and evaluation of symptoms and risk factors. It is decorated from the upper side with rhinestones and colorful studs. Q92. Almost always, if the dimple is within the gluteal crease, there is no underlying spinal abnormality and no investigation is necessary. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 4. Type 1 Excludes. 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. One infant had urodynamics studies and a tethered cord release. Specialty: General Surgery. Lumbosacral and/or coccygeal hairiness could be found in some neonates, together with dimples and deviated or duplicated gluteal creases, which may be insignificant findings in low-risk newborns. cutaneous manifestations were duplicated or bifurcated (46%) gluteal folds and gluteal asymmetry (16%). Babies with congenital hip dislocation can also have asymmetrical gluteal folds. Pilonidal literally means a “nest of hair. Code. This is the American ICD-10-CM version of Q37. 8% had deviated or duplicated gluteal creases, 15. Congenital dermal sinuses represent cutaneous depressions or tracts that are lined by stratified squamous epithelium. Perianal candidal intertrigo presents as soreness and irritation with bright red erythema and satellite lesions extending into the natal cleft. ICD-10-CM Diagnosis Code M76. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. Any dimple lying superior to the gluteal cleft, outside the midline, and with a diameter greater than 5 mm commonly accompanies a spinal anomaly and warrants radiological investigation such as an MRI. Some consider the term spina bifida occulta. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Concerning findings warranting further work -up: dimples located superior to natal cleft or more than 2. 6 became effective on October 1, 2021. Expand all. A duplicated gluteal cleft associated with occult spinal dysraphism. Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. Hi mamas. 9% were worse. At her check up her doctor noticed that she has a y shaped gluteal crease. 6 E. Pilonidal cysts tend to occur on a person’s lower back, just above the cleft of the buttocks. 1 became effective on October 1, 2023. Of 1096 infants included in the study, 24. If a sacral dimple is paired with other symptoms such as bruising, tufts of hair or skin tags, it could be a sign of a spinal condition. In every method, the most important aspect is keeping the order of. 04%). A sacral dimple is a small dent or depression in your child’s lower back near the crease of their buttocks. Free returns. Clinical pearl: Gluteal cleft anomalies (e. “High-risk” dimples are defined as those that are (1) deep; (2) larger than 0. Subcutaneous lipomas. On physical examination, well‐demarcated, erythematous, verrucous papules and confluent plaques, measuring 10–30 mm in size, were seen on both sides of the inner gluteal cleft, sparing the anal margin. Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. 6% (in Turkey). A person with a pilonidal cyst may experience swelling, pain, and skin discoloration in the affected. Had our first well check today and scheduled an ultrasound. All newborns undergo an examination of the. Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. 2 deletion. in the sacrococcygeal area as shown in Figure 1. Duplicated gluteal crease. 5 cm above the anus) and solitary. Should we be worried? Results: The most common LsCMs were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Notable increase of both sacral and coccygeal hair. Results: The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). Duplications with other complex rearrangements. I never thought to bring it up to the doctor until recently when my mom said it’s not normal. The patient was born at 40 weeks and 1 day of gestation to a 21-year-old gravida 2 now para 2 mother by vaginal delivery. This is the American ICD-10-CM version of Q82. The code is exempt from present on admission (POA) reporting for. Our study found that cutaneous lumbosacral findings are more common in well newborns than previously reported. 2 The bruises appear to result from compressing/shearing forces arising during abusive spanking (Figure 3). The rotating of tissue causes the gluteal cleft to shift. It is designed by a fashion designer named Kimberly brewer. A duplicated gluteal cleft associated with occult spinal dysraphism. The 2024 edition of ICD-10-CM Q63. basically, the top of his bum crack makes a y shape…15 result found: ICD-10-CM Diagnosis Code M76. A prototypical benign sacral dimple that is located within the gluteal cleft (less than 2. Q84. Continue Reading. Bilateral gluteal tendinitis; Gluteal tendinitis of right hip; Right gluteal tendinitis; Tendinitis of bilateral. 0 - other international versions of ICD-10 Q36. This is the American ICD-10-CM version of Q84. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. George Karydakis in 1973. The code is exempt from present on admission (POA) reporting for. Cleft lip, bilateral. Following the skin preparation, the perianal area is isolated with a 3M 1010 Steri-Drape, and the incision site is then draped with sterile towels. Whe the skin lateral to the dimple is stretched, skin can be seen covering the entire dimpled area. A sacral dimple is a small, usually shallow indentation in the small of the back, just above or within the crease of the buttocks. It is a visible border separating ass into two parts. Similar. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Neurological examination was normal, and subsequent urodynamics study was also normal. Messages 2,335 Location ENGLEWOOD/DENVER Best answers 0. 5 may differ. Setting: Community private practice with extensive. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. Is there marked asymmetry of the gluteal cleft? No Yes Is. MeSH Code: D010864. Physical examination revealed a healthy appearing female with well-demarcated scaly pink plaques located in the gluteal cleft. A sacral dimple. 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. 9 became effective on October 1, 2023. This is the American ICD-10-CM version of Q36. This is the American ICD-10-CM version of P01. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of the 14 infants underwent a lumbar magnetic resonance imaging. Figure 2. 8 is a billable diagnosis code used to specify a medical diagnosis of other congenital malformations of musculoskeletal system. P. Samir Shureih MD. 3 March 2011 111 The most common lumbosacral cutaneous manifestations were bifurcated/duplicated gluteal folds (33%), gluteal asymmetry (19%), and sacral dimples (14%). 95. 5, 100, 24, 90/64, Page 6 and 7: • Which ones are benign? • When; Page 8 and 9: Adapted from Pediatrics in Review ;Of 1096 infants included in the study, 24. My 1st has a duplicate gluteal cleft and 2 sacral dimples. She is almost 2 and it has caused her no problems thus far. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 99/year. , four cases of asymmetrical gluteal fold, two cases of dermal sinus, one case of hairy tuft, one. This is the American ICD-10-CM version of P92. , 2013. 0 may differ. Had our first well check today and scheduled an ultrasound. By Perrine Juillion / October 25, 2019. ”. The lesions appeared to spare the central crease and were tender. Feb 4, 2023 at 3:55 PM. 2 - other international versions of ICD-10 Q84. This can cause swallowing issues and aspiration (when food or liquid passes into the lungs), recurrent lung inflammation, and coughing and choking with feedings. The MyChart Patient Portal is an online tool that provides medical information about care provided at Johns Hopkins All Children’s and connects you to your health care team. little man has a duplicated gluteal cleft. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. Gluteal cleft is the vertical partition which separates buttocks. Bust get. They don't usually cause problems or need treatment unless they get infected. As the body grows, however, the spinal cord then becomes stretched and damaged by the abdominal attachment. In addition, in a study by Lode HM et al. Sacral Dimple. little man has a duplicated gluteal cleft. 8. After completing this article, readers should be able to: Neural tube defects are among the most common forms of birth defect, affecting 1 in every 1,000 pregnancies. He seems completely healthy otherwise. A duplicated gluteal cleft associated with occult spinal dysraphism. In many situations they heal on their own. 95. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. basically, the top of his bum crack makes a y. 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. z. The vast majority of babies diagnosed with a laryngeal cleft are born with this condition. It is also called butt crack or ass crack. 9 may differ. They communicate between the surface of the skin and deeper structures and may occur anywhere along the craniospinal axis. 34 may differ. SGD patients developed with ulcer were all am-bulatory unlike the pressure sore. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. Non-duplicate identified articles were independently reviewed by two authors (J. This is the American ICD-10-CM version of Q82. 7. This is the American ICD-10-CM version of Q35. 89 specifies anus/rectum, M53. The management for this syndrome is individualized and may include surgical intervention to fuse or excise the duplicated organs. Results. Fourteen (21%) of the 67 patients had an abnormal spinal ultrasound; 5 of. 18 Although it has long been recognized that midline uncomplicated dimples located within the gluteal crease (so-called coccygeal pits) are unlikely to be associated with a tethering lesion, Gomi. Read More. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code Q76. 27 This study also evaluated 207 neonates with cutaneous stigmas and found that none of the infants with a simple midline dimple (meeting none of the criteria listed above) had spinal dysraphism. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. The 2024 edition of ICD-10-CM Q84. Gluteal cleft. 5 may differ. The cleft lift procedure was described by Dr. Not Included Here. Treatment options are extensive but most often include incision and drainage with. Here are some of the things I have tried myself at different times as decided by myself and my girlfriend: Sudocrem every night. Caudal duplication syndrome (CDS) is a rare disease entity with prevalence of less than 1 per 100,000 at birth. 03 9696 GROW or 9696 4769.