Ossified Cephalohaematoma: An Unusual Case of Calvarial Mass in Infancy

Cephalohaematoma is a subperiosteal blood collection seen in newborns born through instrumental delivery. Although most cases resolve spontaneously, some may have complications such as ossification. An ossified cephalohaematoma, a rare condition, presents as a hard scalp swelling in infants, resulting in high concern for the parents and requiring proper diagnosis for effective management; it usually resolves without complications. Hereby, the authors present a case report of a two-month-old male infant with a persistent hard swelling in the right parietal region since, birth was diagnosed with a calcified cephalohaematoma. The present case highlights a rare presentation of ossified cephalohaematoma, where the initial soft swelling at birth gradually hardened over time. Despite the condition’s tendency to resolve spontaneously, surgical excision was required, leading to the successful correction of the skull deformity with no recurrence. Early intervention ensured favourable cosmetic and functional outcomes. In the present case, surgical excision successfully resolved the issue with no recurrence. While cephalohaematomas usually resolve spontaneously, some may ossify. Differentiating them from other skull lesions is crucial, and surgical intervention may be necessary for persistent cases. Ossified cephalohaematomas should be considered in infants with hard scalp swellings, and early intervention can ensure favourable outcomes and reduce parental anxiety. Timely diagnosis and surgical management of ossified cephalohaematoma can ensure successful outcomes, preventing recurrence and effectively resolving cosmetic or structural concerns.