Annals of Saudi Medicine
Publication of the King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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CASE REPORT
Year : 2009  |  Volume : 29  |  Issue : 6  |  Page : 471-473

Diffuse idiopathic hyperplasia of the sternocleidomastoid muscle in a child


1 Pediatric Surgery Division, Department of Surgery, King Fahad Hospital of University, Al-Khobar, Saudi Arabia
2 Department of Radiology, King Fahad Hospital of University, Al-Khobar, Saudi Arabia
3 Plastic Surgery Division, Department of Surgery, King Fahad Hospital of University, Al-Khobar, Saudi Arabia

Correspondence Address:
Kamalesh Pal
Pediatric Surgery Division, Department of Surgery, King Fahad Hospital of University, PO Box , Al-Khobar
Saudi Arabia

DOI: 10.4103/0.


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Unilateral diffuse or localized enlargement of the sternocleidomastoid muscle (SCM) is an event commonly seen in infancy, and is popularly known as 'sternocleidomastoid tumor'. The condition, which usually spontaneously resolves with or without physiotherapy, is due to a hematoma following a difficult labor. The muscle regains its elasticity and complete function. In some infants it resolves with fibromatous changes in the muscle leading to shortening, fibrosis and finally culminating in torticollis. We describe a case of idiopathic diffuse enlargement of unilateral SCM in a 12-year-old child without any functional compromise or torticollis. The histopathological and clinical characteristics differentiating it from more commonly described sternocleidomastoid tumor or fibromatosis coli are described. We believe this is the first case report of idiopathic hyperplasia of SCM.


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