Umbilical Vein Catheterization - When Complications Occur A Case Report
1,University Hospital Centre Rijeka Department of Gynecology and Obstetrics Division of Neonatology
2,University Hospital Centre Rijeka Department of Pediatrics
DOI: 10.22514/SV91.042014.15 Vol.9,Issue 1,April 2014 pp.73-75
Published: 30 April 2014
Although umbilical venous catheterization is a routine procedure in premature newborns, it is associated with various, potentially life threatening, complications. We present a case of a premature baby diagnosed with a hepatic parenchymal liquid collection as a complication of umbilical vein catheterization in our Neonatal Intensive Care Unit.
The child was born in the 25th gestational week (GW) and was doing well until the12th day of life when his general condition
deteriorated. He appeared anxious and his oxygen saturation (SaO2) decreased. There was slight abdominal distension and tenderness over the abdominal wall, with weak bowel movements, and a palpable liver. Abdominal ultrasound (US) showed an enlarged liver with a well-defined hypoechoic area, with inhomogeneous echogenicity. Such findings were suggestive of fluid extravasation to the liver through a malpositioned umbilical venous catheter. The umbilical catheter was withdrawn, antimicrobial treatment initiated, and eventual complete regression of the collection was seen eleven days after extravasation. Rapid, unexplained clinical deterioration of a newborn with an umbilical vein catheter should always raise the suspicion of a complication due to catheterization. Such a catheter should be carefully revised and, if there is any doubt, removed. Timely diagnosis and adequate treatment is essential, and potentially life-saving.
newborn, umbilical vein catheterization, complication, mal-position, liver
IVA BILIĆ ČAČE,ROBERT KRAJINA,NEVEN ČAČE. Umbilical Vein Catheterization - When Complications Occur A Case Report. Signa Vitae. 2014. 9(1);73-75.
1. Seghal A, Cook V, Dunn M. Pericardial effusion associated with an appropriately placed umbilical venous catheter. J Perinatol 2007;27(5):317-9.
2. Schlesinger AE, Braverman RM, DiPietro MA. Neonates and umbilical venous catheters: normal appearance, anomalous positions, com-plications, and potential aid to diagnosis. Am J Roentgenol 2003;180:1147-53.
3. Singleton EB. Radiologic considerations of intensive care in the premature infant. Radiology 1981;140:291-300.
4. Bothur-Nowacka J, Czech-Kowalska J, Gruszfeld D, Nowakowska-Rysz M, Kosciesza A, Polnik D, et al. Complications of umbilical vein catheterization. Case Report. Pol J Radiolo 2011;76(3):70-3.
5. Haase R, Hein M, Thale V, Vilser C, Merkel N. Umbilical venous catheter-analysis of malpositioning over a 10-year period. Z Geburtshilfe Neonatol 2011;215(1):18-22.
6. Hermansen MC, Hermansen MG. Intarvascular catheter complications in thze neonatal intensive care unit. Clin Perinatol 2005;32(1):141-56.
7. Yigiter M, Arda IS, Hicsonmez A. Hepatic laceration because of malpositioning of the umbilical vein catheter: case report and literature review. J Pediatr Surg 2008;43(5):39-41.
8. Friedman AP, Haller JO, Boyer B, Cooper R. Calcified portal vein thromboemboli in infants. Radiology 1981;140:381-2.
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