A rare cause of scalp swelling in infancy: delayed subaponeurotic fluid collections in five cases
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Subaponeurotic (subgaleal) fluid collection (DSFC) is a rare clinical entity of unknown etiology. We aimed to present our series of infants who were diagnosed with DSCF at Ankara University Children’s Hospital. We retrospectively reviewed clinical findings, imaging studies, laboratory tests, management, and clinical courses of infants diagnosed with DSCF between June 2014 and June 2018. Five infants (4 males, 1 female), aged 5–14 weeks, were identified during the study period. All deliveries were non-progressive (3 normal deliveries, 2 cesarean sections) while instrumentation (vacuum extraction or forceps) was used in 2. History of recent trauma, concern for child abuse, and family or personal history of coagulopathy were negative for all patients. Conservative management with the spontaneous resolution was observed in 2 to 12 weeks in all infants. Although rare, DSFC should always be kept in mind in the differential diagnosis of scalp swelling in young infants. The diagnosis is primarily clinical, and current treatment is conservative.
KeywordsScalp swelling in infancy Subgaleal Subaponeurotic fluid collection Traumatic delivery
Delayed subaponeurotic (subgaleal) fluid collection
Magnetic resonance imaging
EI and NECI designed the study. NECI had the primary responsibility in the formation of the initial draft. All authors provided substantial contributions to the design of the work and the acquisition or the interpretation of the data, revised the initial draft, approved the final manuscript, and agreed to be accountable for all aspects of the work.
Compliance with ethical standards
Conflict of interest
The authors declare no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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