Aplasia cutis congenita scalp presenting with life threatening hemorrhage: a case report

Abstract

Aplasia cutis congenita is a rare congenital anomaly characterized by the absence of a patch of skin since birth. It may lead to life threatening complications at times. A 5-day-old neonate with Aplasia cutis congenita was received in a state of shock due to tremendous blood loss from the superior sagittal sinus. The neonate was resuscitated immediately followed by closure of the superior sagittal sinus and flap coverage to the defect as a life saving procedure.

Keywords: Aplasia cutis congenita; Hemorrhage; Superior sagittal sinus.

Figure 1: Wound Debridement and repair of superior sagittal sinus

Figure 2: Transposition Flap Marking

Figure 3: Flap elevated

Figure 4: Flap inset

Figure 5: The donor site closure with split thickness skin graf