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Images in neonatal medicine
Spontaneous ping-pong parietal fracture in a newborn
  1. Mathilde Loire1,
  2. Maxime Barat2,
  3. Laurent Mangyanda Kinkembo3,
  4. Florence Lenhardt4,
  5. Célestin M'buila3
  1. 1 Service de Pédiatrie, Groupe Hospitalier Carnelle Portes de l'Oise, Beaumont sur Oise, Île-de-France, France
  2. 2 Department of Radiology, Groupe Hospitalier Carnelle Portes de l'Oise, Beaumont-sur-Oise, Île-de-France, France
  3. 3 Department of Pediatrics, Groupe Hospitalier Carnelle Portes de l'Oise, Beaumont sur Oise, Île-de-France, France
  4. 4 Department of Obstetrics, Groupe Hospitalier Carnelle Portes de l'Oise, Beaumont-sur-Oise, Île-de-France, France
  1. Correspondence to Dr Mathilde Loire, Service de Pédiatrie, Groupe Hospitalier Carnelle Portes de l'Oise, 25 Rue Edmond Turcq, Beaumont sur Oise, Île-de-France 95260, France; mathildeloire{at}orange.fr

https://doi.org/10.1136/archdischild-2016-311232

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    Clinical case

    A female infant was delivered by caesarean section at 38 weeks of gestation with a depressed calvarial fracture (DCF) (figures 1 ⇓–3). No trauma was described during the pregnancy. No instrumental extraction was used during C-section. The newborn examination was normal.

    Figure 1

    Photography of the 1-day newborn skull that shows the parietal depression without haematoma.

    Figure 2

    Encephalic CT scan in the axial plane, brain filter, of the infant 24 hours after her birth. It shows the invagination of the parietal bone (arrow) …

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    Footnotes

    • Contributors All authors have made substantial contributions to all of the following: the conception and design of the study, or acquisition of data, or analysis and interpretation of data, drafting the article or revising it critically for important intellectual content, final approval of the version to be submitted.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

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