Cephalohematomas

Case contributed by Dennis Odhiambo Agolah
Diagnosis almost certain

Presentation

Soft right and left scalp swellings/bulges at the parietal regions one week after spontaneous vaginal delivery (SVD).

Patient Data

Age: 13 days
Gender: Male
ultrasound

Homogenously low level echo free unilocular fluid collections (non-communicating) are noted at the right and the left parietal-occipital scalp regions with the right totaling 27.2 ml while the left amounting 44.4 ml in volume. No communication of the free fluids with the intracranial structures which again on transcranial Doppler assessment, is unremarkable.

Case Discussion

Subperiosteal, extracranial, non-communicating low level fluid collections most compatible with cephalohematomas at the bilateral occipital-parietal regions. Other closely ranking differentials may include:

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