Umbilical artery catheterization: a potential cause of refractory hypoglycemia.
Two infants with persistent, symptomatic hypoglycemia are reported. Both were thought to have iatrogenic hyperinsulinism due to a malpositioned umbilical artery catheter. Repositioning of the catheter to avoid direct infusion into the arterial blood supply to the pancreas resulted in prompt cessation of hypoglycemia.
D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D007231:Infant, Newborn; D007328:Insulin / Q000378:metabolism; D008297:Male; D011247:Pregnancy; D014469:Umbilical Arteries
D001786:Blood Glucose; D007328:Insulin