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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(01): 40-43
DOI: 10.4103/0971-3026.178287
Abdomen

Umbilical venous catheterization gone wrong: Hepatic complications

Poonam Sherwani
Department of Radiodiagnosis, Chacha Nehru Bal Chikitsalaya Hospital, New Delhi, India
,
Adweta Vire
Department of Radiodiagnosis, Chacha Nehru Bal Chikitsalaya Hospital, New Delhi, India
,
Rama Anand
Department of Radiodiagnosis, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
,
Mamta Jajoo
Department of Paediatrics, Chacha Nehru Bal Chikitsalaya Hospital, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Hepatic complications of malposition of umbilical venous catheter (UVC) are uncommon and occur due to extravasation of hypertonic fluids and the blood products in the liver tissue. Various hepatic complications include thrombosis of hepatic vessels, hepatic necrosis, hepatic fluid collections, and hematoma, with the intraparenchymal liver lesions seen along the course of ductus venosus. Radiologists must be aware of these complications and their imaging findings, as the timely recognition and immediate management can prevent the fatal outcome. Here, we present a rare case of intraparenchymal liver lesions associated with malposition of UVC in a preterm baby.

Keywords

Extravasation - hepatic necrosis - total parenteral nutrition - umbilical venous catheterization


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Mahajan V, Rahman A, Tarawneh A, Sant′anna GM. Liver fluid collection in neonates and its association with the use of a specific umbilical vein catheter: Report of five cases. Paediatr Child Health 2011;16:13-5.
  • 2 Yigiter M, Arda IS, Hiçsönmez A. Hepatic laceration because of malpositioning of the umbilical vein catheter: Case report and literature review. J Pediatr Surg 2008;43:E39-41.
  • 3 Shah I, Bhatnagar S. Liver abscess in a newborn leading to portal vein thrombosis. Indian J Pediatr 2009;76:1268-9.
  • 4 Nash P. Umbilical catheters, placement, and complication management. J Infus Nurs 2006;29:346-52.
  • 5 Symansky MR, Fox HA. Umbilical vessel catheterization: Indications, management, and evaluation of the technique. J Pediatr 1972;80:820-6.
  • 6 Oestreich AE. Umbilical vein catheterization - Appropriate and inappropriate placement. Pediatr Radiol 2010;40:1941-9.
  • 7 Lim-Dunham JE, Vade A, Capitano HN, Muraskas J. Characteristic sonographic findings of hepatic erosion by umbilical vein catheters. J Ultrasound Med 2007;26:661-6.
  • 8 Khaldkar SM, Gujarathi A, Kulkarni VM, Singh A. Hepatic necrosis due to umbilical vein catheter malposition: A case report with review of literature. Med J DY Patil Univ 2014;7:793-6.
  • 9 Schlesinger AE, Braverman RM, DiPietro MA. Pictorial essay. Neonates and umbilical venous catheters: Normal appearance, anomalous positions, complications, and potential aid to diagnosis. AJR Am J Roentgenol 2003;180:1147-53.
  • 10 Chung EM, Lattin GE Jr, Cube R, Lewis RB, Marichal-Hernández C, Shawhan R, et al. From the archives of the AFIP: Pediatric liver masses: Radiologic-pathologic correlation. Part 2. Malignant tumors. Radiographics 2011;31:483-507.
  • 11 Bothur-Nowacka J, Czech-Kowalska J, Gruszfeld D, Nowakowska-Rysz M, Kosciesza A, Polnik D, et al. Complications of umbilical vein catherisation. Case Report. Pol J Radiol 2011;76:70-3.
  • 12 Ros PR, Goodman ZD, Ishak KG, Dachman AH, Olmsted WW, Hartman DS, et al. Mesenchymal hamartoma of the liver: Radiologic-pathologic correlation. Radiology 1986;158:619-24.
  • 13 Stanley P, Hall TR, Woolley MM, Diament MJ, Gilsanz V, Miller JH. Mesenchymal hamartomas of the liver in childhood: Sonographic and CT findings. AJR Am J Roentgenol 1986;147:1035-9.