Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant
Introduction. Minor head trauma, such as scalp abrasion, is relatively common during vaginal delivery, whereas fatal head trauma is rare. This case report describes the successful repair and management of severe scalp avulsion that occurred during vaginal delivery and consequent hemorrhagic shock in...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2024/8122801 |
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| author | Shoko Takahashi Yu Kanai Yayoi Miyazono Daisuke Hitaka Yuki Fujita Yoichiro Shibuya Hidetoshi Takada |
| author_facet | Shoko Takahashi Yu Kanai Yayoi Miyazono Daisuke Hitaka Yuki Fujita Yoichiro Shibuya Hidetoshi Takada |
| author_sort | Shoko Takahashi |
| collection | DOAJ |
| description | Introduction. Minor head trauma, such as scalp abrasion, is relatively common during vaginal delivery, whereas fatal head trauma is rare. This case report describes the successful repair and management of severe scalp avulsion that occurred during vaginal delivery and consequent hemorrhagic shock in an extremely low birth weight infant. Case Presentation. An extremely low birth weight infant (26 weeks’ gestational age) sustained extensive scalp avulsion during vaginal delivery that exposed the skull. The scalp laceration began in the frontal temporal region and extended bilaterally along the temporal region for 20 cm. The infant experienced hemorrhagic shock soon after birth due to bleeding from the wound and was placed in a closed incubator for intensive care. At 7 h after birth, the wounds were repaired using sutures. Bleeding was quickly controlled, and the infant recovered from hemorrhagic shock. A wet dressing was applied to the wound, and the flap healed without necrosis. Conclusion. We successfully repaired severe scalp avulsion in this case. Scalp avulsion can cause severe bleeding and death. Bleeding control and the preservation of circulation are the most important factors in its repair and maintenance. In this case, suturing the wound effectively controlled the bleeding, and the application of wet dressing and a high-humidity environment thereafter may have contributed to the scalp’s engraftment. |
| format | Article |
| id | doaj-art-26b694ecab00489598d8a38ab23191f6 |
| institution | Kabale University |
| issn | 2090-6811 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-26b694ecab00489598d8a38ab23191f62025-02-03T10:57:45ZengWileyCase Reports in Pediatrics2090-68112024-01-01202410.1155/2024/8122801Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight InfantShoko Takahashi0Yu Kanai1Yayoi Miyazono2Daisuke Hitaka3Yuki Fujita4Yoichiro Shibuya5Hidetoshi Takada6Department of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of Plastic and Reconstructive SurgeryDepartment of Plastic and Reconstructive SurgeryDepartment of PediatricsIntroduction. Minor head trauma, such as scalp abrasion, is relatively common during vaginal delivery, whereas fatal head trauma is rare. This case report describes the successful repair and management of severe scalp avulsion that occurred during vaginal delivery and consequent hemorrhagic shock in an extremely low birth weight infant. Case Presentation. An extremely low birth weight infant (26 weeks’ gestational age) sustained extensive scalp avulsion during vaginal delivery that exposed the skull. The scalp laceration began in the frontal temporal region and extended bilaterally along the temporal region for 20 cm. The infant experienced hemorrhagic shock soon after birth due to bleeding from the wound and was placed in a closed incubator for intensive care. At 7 h after birth, the wounds were repaired using sutures. Bleeding was quickly controlled, and the infant recovered from hemorrhagic shock. A wet dressing was applied to the wound, and the flap healed without necrosis. Conclusion. We successfully repaired severe scalp avulsion in this case. Scalp avulsion can cause severe bleeding and death. Bleeding control and the preservation of circulation are the most important factors in its repair and maintenance. In this case, suturing the wound effectively controlled the bleeding, and the application of wet dressing and a high-humidity environment thereafter may have contributed to the scalp’s engraftment.http://dx.doi.org/10.1155/2024/8122801 |
| spellingShingle | Shoko Takahashi Yu Kanai Yayoi Miyazono Daisuke Hitaka Yuki Fujita Yoichiro Shibuya Hidetoshi Takada Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant Case Reports in Pediatrics |
| title | Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant |
| title_full | Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant |
| title_fullStr | Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant |
| title_full_unstemmed | Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant |
| title_short | Successful Repair and Management of Severe Scalp Avulsion Incurred during Birth in an Extremely Low Birth Weight Infant |
| title_sort | successful repair and management of severe scalp avulsion incurred during birth in an extremely low birth weight infant |
| url | http://dx.doi.org/10.1155/2024/8122801 |
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