You are here

  • Home
  • Archive
  • Volume 2018, Issue
  • Ascites with hepatic extravasation of total parenteral nutrition (TPN) secondary to umbilical venous catheter (UVC) malposition in an extremely preterm baby

Article Text

Article menu
Download PDFPDF
Learning from errors
CASE REPORT
Ascites with hepatic extravasation of total parenteral nutrition (TPN) secondary to umbilical venous catheter (UVC) malposition in an extremely preterm baby
  1. Satyaranjan Pegu,
  2. Poornima Murthy
  1. Division of Neonatology, Department of Pediatrics, Regina General Hospital, Regina, Saskatchewan, Canada
  1. Correspondence to Dr Satyaranjan Pegu, satyapegu{at}gmail.com

Summary

The ease of access and advantages of a secure central line makes use of umbilical venous catheter (UVC) and umbilical artery catheters a part of the standard of care in the extremely premature babies in the neonatal intensive care unit. However, there are complications associated with their use. One of the uncommon complications reported is total parenteral nutrition (TPN) ascites secondary to vessel perforation or hepatic erosion by the tip of the catheter due to malposition of a UVC. We present here a case of such catheter perforation causing ascites and right hepatic collection of TPN in a 28-week-old infant. Abdominal paracentesis was therapeutic by relieving the distension as well as confirming the presence of parenteral nutrition in the peritoneal cavity.

  • healthcare improvement and patient safety
  • neonatal intensive care
  • unwanted effects / adverse reactions

https://doi.org/10.1136/bcr-2018-226377

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors SP was involved in the care of the patient and drafted the manuscript. PM was involved in the patient’s care, revised and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.