Newborn Nursery at LPCH

Cephalohematoma

photo by Janelle Aby, MD

When digital pressure is applied, the fullness shifts from under the finger to the surrounding areas. In this photo, a bulge can be appreciated anterior and superior to the pressure point. When pressure is released, blood immediately refills this area and the appearance (unlike caput) is identical to the way it was before. In this baby, blood was ballotable across most of the left parietal bone. As with all cephalohematomas, it was limited by the suture lines -- in this case, sagittal, coronal, and lambdoid.

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