Hello my colleagues .

 

My case for today is a term male baby born to multiparous  mother .

healthy , well .

on examination he has this mass which is somehow semisolid , movable , pedunculated   .

it doesn't interfere with feeding or breathing .

His investigation was normal .

 

So i referred him to a pediatric surgery and iam waiting for updated .

i took two pic ( permition of course had been taken )  .

 

So , What is next ?

Many diff diagnoses to consider... Check this open access summary in PMC https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4921882/

I'll see if I can find a PDF also to email to you

(check your inbox!)

Great article shared by Stefan above, I will narrow my differential to Congenital Epulis. I published a similar case report few years back. see the link below

https://www.researchgate.net/publication/221740407_Congenital_Epulis

Needs imaging MRI to look for deep connection, as it could be encephalocele with CNS connection. Final treatment is surgical resection. Prognosis depends on underlying cause, if Epulis, 

Naveed