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 The umbilical catheter was withdrawn, antimicrobial treatment initiated, and eventual complete regression of the collection was seen eleven days after extravasation.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.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
IndexCopernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 0.5(2019) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.