Subcapsular haematoma and multifocal necrosis as fatal liver complications following umbilical vein catheterisation in a premature baby.
We describe a case of subcapsular haematoma of the right lobe (SHL) and multifocal necrosis of the left lobe (MNL) of the liver following umbilical vein catheterisation (UVC) in a female at 24 weeks' gestation. SHL and MNL have been described as uncommon complications following umbilical vein catheterisation. To our knowledge this is the first time both complications have developed in the same patient. SHL should be considered in the differential diagnosis of hypovolaemic shock in this group of patients.
Department of Histopathology, Sheffield Children's Hospital, Sheffield, United Kingdom. Marta.Cohen@sheffch-tr.trent.nhs.uk
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M
Cohen
A
A
Sprigg
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I
Roberts
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P
Bustani
D002404:Catheterization / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008107:Liver Diseases / Q000209:etiology* / Q000473:pathology; D009336:Necrosis; D014471:Umbilical Veins