title: Hepatic laceration because of malpositioning of the umbilical vein catheter: case report and literature review.
abstract: Umbilical vein catheterization that is a common bedside procedure in the neonatal intensive care units is not without complication. The most common complications are thrombus formation, embolism, vessel perforation, hemorrhage, and infection. Complications related to the liver carry a high risk for mortality. Laceration is an ominous complication of umbilical vein catheter that is generally a result of direct injury through the liver parenchyma. Abdominal distension that develops gradually should alert the physician for a likely development of intrahepatic bleeding. Surgery is mandatory in patients with ongoing bleeding after the withdrawal of the catheter. Early diagnosis and treatment are lifesaving in these patients.
authors.affiliation: Department of Pediatric Surgery, Baskent University Faculty of Medicine, 06490 Bahçelievler Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Yiğiter
authors.forename: Irfan Serdar
authors.initials: IS
authors.lastname: Arda
authors.forename: Akgün
authors.initials: A
authors.lastname: Hiçsönmez
mesh_terms: D002404:Catheterization / Q000009:adverse effects; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000628:therapy; D022125:Lacerations / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy; D014463:Ultrasonography; D014471:Umbilical Veins