Introduction A subgaleal hematoma or subaponeurotic hemorrhage occurs infrequently and is usually seen in pediatric patients, especially in the neonatal period. It may be associated with coagulation disorders. Case report We report on a previously healthy 19-month-old patient who presented with an extensive subgaleal hematoma and significant anemia secondary to a fall. Discussion A literature review was conducted, and the etiology, diagnosis, and treatment of the subgaleal hematoma are discussed. Conclusion Conservative treatment, except in select severe cases, is recommended for this condition.