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Case Reports: Reminder of important clinical lesson
Lump on the scalp of a child arising over a previous parietal fracture: growing skull fracture or post-traumatic lipoma?
  1. Karim Tewfik1,2,
  2. Claudia Covelli3,
  3. Manuela Rossini2 and
  4. Dante Burlini2
  1. 1Head&Neck Department, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy
  2. 2Pediatric Maxillofacial Unit, ASST Spedali Civili di Brescia, Brescia, Italy
  3. 3Pathology Unit, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy
  1. Correspondence to Mr Karim Tewfik; karim.tewfik{at}gmail.com

Abstract

A young girl was referred to our Institution for the appearance of a painless soft swelling in the right parietal region of the scalp. In the same site, the patient had a parietal bone fracture 1 year ago. In the suspicion of a growing skull fracture, the patient underwent radiological investigations. Ultrasound showed a soft, poorly vascularised swelling with parenchymatous content. The skull X-ray showed an apparent healing of the previous fracture. CT scan and MRI confirmed the correct healing of the fracture and described the presence of a lipomatous mass. The mass was surgically removed and histology confirmed the diagnosis of encapsulated lipoma. The postoperative period was uneventful, with no evidence of infections or recurrence in the 6-month follow-up.

  • Head and neck surgery
  • Paediatric Surgery
  • Plastic and reconstructive surgery
  • Oral and maxillofacial surgery

https://doi.org/10.1136/bcr-2021-246283

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    Footnotes

    • Contributors KT and DB conceived the ideas; MR collected the data; KT, CC, MR and DB analysed the data; KT and CC led the writing.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.