BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5631
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‘Ping pong’ fracture in a term infant

  1. Sunil Sanka
  1. NICU, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norfolk, UK
  1. Correspondence to Dr Christine Brittain, cbrittain{at}


We report a term infant born by emergency C-section for fetal bradycardia. Active labour was established at the time of section, resulting in the fetus being deeply impacted and difficult to extract. Baby was born pale and floppy but responded to inflation breaths. Antenatal scans were unremarkable. She was noted to have a depression measuring 4×4 cm in the right parietal area. Skull x-ray (figure 1) showed a depressed fracture of the right parietal bone. There was no …

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