The swelling was soft, non-tender, fluctuant, not pulsatile, and not attached to the overlying skin or underlying structures, and it trans-illuminated brilliantly.ĭermoid cysts occur in various parts of the body and may be subcutaneous, subgaleal, intracranial, ovarian, testicular, or intraspinal in locations. He had an approximately 4 × 4 cm dome-shaped swelling in the anterior fontanelle region. General examination revealed a healthy-looking, 6.4-kg, male infant who was not pale and was anicteric and afebrile. ![]() ![]() There had not been any history of seizure or alteration in level of consciousness. The neonatal period was uneventful, and he achieved normal developmental milestones for his age. ![]() He was the product of an uncomplicated pregnancy and spontaneous vaginal delivery at a government primary health care centre. The swelling, which was painless, had progressively increased in size. A 3-month-old male infant was referred to the paediatric surgical outpatient clinic from the hospital's general outpatient department in April 2019 because of scalp swelling over the anterior fontanelle noticed from birth.
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