Lump on the scalp of a child arising over a previous parietal fracture: growing skull fracture or post-traumatic lipoma?. Issue 4 (4th April 2022)

• Record Type: Journal Article
• Authors: Tewfik, Karim; Covelli, Claudia; Rossini, Manuela; Burlini, Dante
• Is Part Of: BMJ case reports. Volume 15:Issue 4(2022)
• Publication Date: 2022-04-04
• Subjects: Head and neck surgery -- Paediatric Surgery -- Plastic and reconstructive surgery -- Oral and maxillofacial surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2021-246283
• Languages: English
• ISSNs: 1757-790X

Abstract

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.