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September 1996

Pathological Case of the Month

Author Affiliations

From the Departments of Pediatrics and Pathology, University of Texas, Medical Branch of Galveston (Drs Nichols and Gelman), and Tampa General Hospital, Tampa, Fla (Dr Gilbert-Barness).

Arch Pediatr Adolesc Med. 1996;150(9):997-998. doi:10.1001/archpedi.1996.02170340111022

A 273.6-G STILLBORN male infant was delivered at 18 weeks' gestation to a 20-year-old multigravida Hispanic mother with preeclampsia and absent fetal movements for 5 days. The fetus was 26.8 cm long (crown-rump, 19 cm) with foot length 3.4 cm and organ weights compatible with 16 weeks of developmental age. The head circumference was only 16 cm with overriding sutures (normal head circumference should approximate crown-rump length). Gastroschisis was present with malrotation of the bowel and asplenia. Soft, fluctuant, gelatinous swellings 1 cm in diameter were noted over the lower back and posterior right thigh (Figure 1). After fixation, histological sections of the swelling of the right thigh were taken at a lower power (Figure 2), with an arrow where a histological section of the swelling at a higher power is shown (Figure 3).

Diagnosis and Discussion  Autolyzed Brain Tissue Beneath Dermis of Thigh and BackAutolyzed cerebral tissue has

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