Abstract
A 12-year-old boy's hair on the left side was pulled during a quarrel, after which a hematoma developed over his left cranium. He consulted a doctor at our hospital, wherein he was diagnosed with subgaleal hematoma (SGH) on the basis of computed tomography (CT) findings. We aspirated the hematoma several times and pressed it with an elastic bandage. However, 7 days later, the CT image showed that the hematoma had enlarged again. We thought that he was in danger of developing increased eyeball pressure. Therefore, we performed an emergency surgery. We aspirated the hematoma and inserted a closed drainage system in the SG space and pressed his head more strongly with an elastic bandage. After the surgery, the headache improved, and the SGH disappeared slowly. He was discharged from the hospital 18 days later. SGHs are usually treated conservatively. However, careful observation of SGH is necessary, and if enlargement of hematoma is observed, aspiration with a closed drainage system should be considered. We have provided a literature review on the treatment for such cases.
