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Case Reports: Novel treatment (new drug/interventions; established drug/procedure in new situation)
Infraumbilical surgical retrieval of transected umbilical artery catheter in an 840 g newborn
  1. Alessandra Maggioni1,2,
  2. Sarah Sattar1,
  3. Hemanshoo Thakkar3 and
  4. Anna Milan1
  1. 1Neonatal Unit, Evelina London Children's Hospital, London, UK
  2. 2Faculty of Life Sciences and Medicine, Department of Perinatal Imaging and Health, King's College London, London, UK
  3. 3Paediatric Surgery, Evelina London Children's Hospital, London, UK
  1. Correspondence to Dr Alessandra Maggioni; alessandra.maggioni{at}gstt.nhs.uk

Abstract

An 840 g female baby born at 25 weeks gestation suffered a rare complication of umbilical arterial catheter (UAC) insertion, involving an accidental transection resulting in 11 cm of retained catheter inside the baby. Investigations revealed migration of the proximal tip of the catheter within 10 hours into the left subclavian artery.

This complication is rare and has not frequently been described in the literature. Given the size and gestation of the patient, the risks and benefits of both conservative and non-conservative management were discussed in detail prior to any treatment decision being made. Effective multidisciplinary teamwork contributed to the successful removal of the UAC, done via a minimally invasive infraumbilical approach, associated with no further complications.

  • neonatal and paediatric intensive care
  • neonatal intensive care
  • paediatric surgery

https://doi.org/10.1136/bcr-2021-247296

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    Footnotes

    • Twitter @Hemanshoo14

    • Contributors AM and SS contributed equally as first authors to the literature review, data collection and authorship of the paper. HT and AM critically reviewed the paper and approved the final version. AM is the main supervisor and guarantor for this paper.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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