Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain


Unilateral scalp swelling following vaginal delivery at the hospital.

Patient Data

Age: one week.
Gender: Male

Large extracranial right parieto--occiptal cephalohematoma is seen. The underlying skull vault appears intact with no depressed bony fragment. 

Case Discussion

Large scalp soft tissue swelling on the right side is seen. It does not extend to exceed the related skull suture. Crossing the suture is the hallmark and differentiating point of cephalohematoma from subgaleal hematoma.

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