Congenital Skull Depression in a Newborn Delivered by Cesarean Section due to Continued Occipitotransverse Position: Case Report and Short Communication

Abstract

Background: Skull depression in a newborn who delivered by cesarean section is a distinctly rare condition. The cause for skull depression in a newborn is puzzling, especially when there is no evidence of abdominal trauma to the mother, or when the newborn is delivered via cesarean section. Case presentation: We reported one case of congenital skull depression in a male newborn who delivered by cesarean section due to continued occipitotransverse position. His mother had no history of abdominal trauma during the pregnancy, and there were no complications and difficulties in the process of cesarean delivery. The neurological examination of the baby was normal after birth. The depression had completely resolved when the child was 4 months. The child was meeting all appropriate developmental milestones until 3 years old. Conclusions: We argued that the skull depression in this case resulted from a chronic pressure on the fetal skull in utero, which was due to the L5 vertebra. The existence of this clinical condition and its spontaneous resolution is important knowledge which could assist in the prepartum and postpartum management of children with this pathology.