PEDIATRICS Vol. 72 No. 6 December 1983, pp. 912-913
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Subgaleal Hemorrhage

CHARLES J. BEAUCHAMP MD1 and MARY BETH METCALF MD1

1 Department of Pediatrics, University of California Davis, 4301 X St, Sacramento, CA 95817

To the Editor.—

Falvo et al1 reported two cases of subgaleal hematoma resulting from tight braids or ponytails, and they described their surgical management. We wish to report a similar case and suggest alternative management.

A 4-year-old girl was brought to the emergency room after her mother noted she had "lumps" on her head. Except for a mild cough of recent onset, she was in good health. Physical examination revealed a soft, nonpitting, and impressively fluctuant swelling underlying the entire scalp.