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Massive liver mass and parenteral nutrition extravasation secondary to umbilical venous catheter complications
Joanna Yeh1, Jorge H Vargas1, Laura J Wozniak1, Jeffrey B Smith2, M Ines Boechat3, Marlin Touma2
1 Department of Pediatric Gastroenterology, 10833 Le Conte Avenue, David Geffen School of Medicine at UCLA, MDCC 12-383, Los Angeles, CA 90095-1752, USA
2 Department of Neonatology and Developmental Biology, 10833 Le Conte Avenue, David Geffen School of Medicine at UCLA, MDCC 12-383, Los Angeles, CA 90095-1752, USA
3 Department of Pediatric Radiology, 10833 Le Conte Avenue, David Geffen School of Medicine at UCLA, MDCC 12-383, Los Angeles, CA 90095-1752, USA
Correspondence Address:
Dr. Joanna Yeh
Pediatric Hepatology and Gastroenterology, David Geffen School of Medicine at UCLA, Mattel Children's Hospital UCLA, Department of Pediatrics, 10833 Le Conte Avenue, MDCC 12-383, Los Angeles, CA 90095-1752
USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2249-4847.140404
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Umbilical vein catheters (UVC) are widely used in neonatal medicine. Serious complications from UVC placement are uncommon but do exist, including infection, thrombosis, arrhythmias, and hemorrhage. Although rare, hepatic complications, in particular, have been associated with significant morbidity and mortality. Correct positioning of the catheter prior to starting infusion of hyperosmolar solutions and early recognition of UVC-related complications are crucial in minimizing iatrogenic injury. We report the case of a neonate who was found at 10 days of age to have large pleural and peritoneal effusions and a massive fluid collection in the liver due to malposition of a UVC. |
